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Satone PD, Tayade SA. Alternative Birthing Positions Compared to the Conventional Position in the Second Stage of Labor: A Review. Cureus 2023; 15:e37943. [PMID: 37223195 PMCID: PMC10202683 DOI: 10.7759/cureus.37943] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Accepted: 04/21/2023] [Indexed: 05/25/2023] Open
Abstract
The position in which the woman delivers has a lot of impact on the ease of delivery. Women's satisfaction with their birthing experience and the care they receive is significantly impacted by the fact that giving birth is frequently a challenging experience. Birthing positions refer to various postures which can be assumed at the time of delivery by a pregnant woman. Currently, the majority of women give birth either while lying flat on their backs or in a semi-sitting position. Upright positions, which include standing, sitting, or squatting along with side-lying and hands-and-knees, are less common birth positions. Doctors, nurses, and midwives are among the most important healthcare professionals, having a significant influence in deciding which position the woman will give birth in and on the physiological and psychological effects of the experience of a woman in labor. There isn't much research to back up the best position for mothers during the second stage of labor. This review article aims to review and compare the advantages and risks of common birthing positions and know about the knowledge of alternative birthing positions among pregnant women.
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Affiliation(s)
- Prasiddhi D Satone
- Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND
| | - Surekha A Tayade
- Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND
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2
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Lee BH, Wijetunga DT, Rajasekaran C, Eng Su Min C, Bin Abd Razak HR. Bilateral Well Leg Compartment Syndrome as a Complication of Prolonged Lithotomy Position in Abdominoperineal Resection Surgery. Cureus 2021; 13:e17975. [PMID: 34667662 PMCID: PMC8516595 DOI: 10.7759/cureus.17975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2021] [Indexed: 11/17/2022] Open
Abstract
Patients undergoing prolonged surgery in a lithotomy position may develop acute lower limb compartment syndrome in the absence of trauma or pre-existing vascular disease, otherwise known as well-leg compartment syndrome (WLCS). Early recognition and management would prevent the potential, lethal complications associated with this condition. We present a case of a 55-year-old gentleman who developed bilateral WLCS after prolonged abdominoperineal resection of his pelvic liposarcoma.
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Affiliation(s)
- Bing Howe Lee
- Orthopaedic Surgery, Sengkang General Hospital, Singapore, SGP
| | | | | | | | - Hamid Rahmatullah Bin Abd Razak
- Musculoskeletal Sciences, Duke-National University of Singapore (NUS) Medical School, Singapore, SGP.,Orthopaedic Surgery, Sengkang General Hospital, Singapore, SGP
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3
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Tan HT, Yi WT, Shi L, Wang WT, Lin CH. Clinical application of percutaneous nephro lithotomy in a patient with kyphoscoliosis. J Int Med Res 2021; 49:300060520987937. [PMID: 33499720 PMCID: PMC7844462 DOI: 10.1177/0300060520987937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
This case report describes the performance of ultrasound-guided percutaneous nephrolithotomy in a 50-year-old woman who had scoliosis with kyphosis and a history of tuberculosis of the lumbar spine. The operation was performed with the patient under general anesthesia and in the prone position. Residual stones were found in the right lower kidney calyx postoperatively, resulting in a second-phase surgery using the same approach 2 weeks later. All stones were successfully removed during the second surgery. No complications occurred in either operation, and the patient recovered well. This study suggests that ultrasound-guided percutaneous nephrolithotomy is a safe and effective approach in treating renal calculi in patients with scoliosis.
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Affiliation(s)
- Hao-Tian Tan
- Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China
| | - Wen-Ting Yi
- Department of Medical Laboratory, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, Shandong, China
| | - Lei Shi
- Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China
| | - Wen-Ting Wang
- Department of Central Laboratory, Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China
| | - Chun-Hua Lin
- Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China
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4
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Wayne G, Wei J, Atri E, Wong V, Garcia-Gil M, Pereira J, Nieder AM, Bhandari A. Trends in Positioning for Robotic Prostatectomy: Results From a Survey of the Endourological Society. Cureus 2021; 13:e12628. [PMID: 33585117 PMCID: PMC7872490 DOI: 10.7759/cureus.12628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Purpose: most robot-assisted laparoscopic prostatectomies (RALP) are performed with the patient in lithotomy, carrying risks of positioning-related complications. Newer robot models have allowed for supine positioning, potentially avoiding these pitfalls. We gauged the current sentiment on patient positioning among surgeons who perform robot-assisted surgery. Methods: we surveyed members of the Endourological Society regarding their practice settings and their opinions on positioning for robot-assisted laparoscopic prostatectomy. Summary statistics were reviewed and data were analyzed using chi-square tests and t-tests. Results: our survey had 92 eligible respondents. The majority were fellowship-trained, with 51% trained in robotics and 57% practicing in the U.S. with a mean of 13 years of practice. Most were working in an academic setting (69%) and performing at least 25 robotic prostatectomies yearly. 28 respondents used the Intuitive Surgical Inc. da Vinci® Xi™ exclusively (30%), and nearly two-thirds used it sometimes. Although 54% of respondents considered using supine positioning, less than half of these surgeons used it regularly, while 75% overall preferred lithotomy. A majority attributed this choice to surgical team familiarity with lithotomy positioning. Surgeons in the U.S. and those using the da Vinci® Xi™ were more likely to consider supine positioning. Conclusions: lithotomy position is the standard for RALP procedures; nonetheless, it poses significant risks that might be avoided with supine positioning. Our survey suggests that, although supine positioning has been considered, it has not gained momentum in practice. Addressing factors of inertia in training practices and one’s surgical team might allow for novel and safer approaches.
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Affiliation(s)
- George Wayne
- Urology, Mount Sinai Medical Center, Miami Beach, USA
| | - Jeff Wei
- Urology, Florida International University Herbert Wertheim College of Medicine, Miami, USA
| | - Elias Atri
- Urology, Florida International University Herbert Wertheim College of Medicine, Miami, USA
| | - Vivian Wong
- Urology, Florida International University Herbert Wertheim College of Medicine, Miami, USA
| | | | - Jorge Pereira
- Urology, Mount Sinai Medical Center, Miami Beach, USA
| | - Alan M Nieder
- Urology, Mount Sinai Medical Center, Miami Beach, USA
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5
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Locke RA, Kwenda EP, Archer J, Bergamo J, Domino MP, DeMarco RT, Bayne CE. Pediatric Robot-Assisted Laparoscopic and Ureteroscopic Uretero lithotomy and Ureteroplasty. J Endourol Case Rep 2020; 6:264-267. [PMID: 33457650 DOI: 10.1089/cren.2020.0043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Pediatric urolithiasis may coexist with congenital urinary tract abnormalities, complicating conventional methods of stone treatment. Here, we present an effective case of robot-assisted laparoscopy and simultaneous ureteropyeloscopy for the definitive management of pediatric urolithiasis complicated by a congenital ureteral stricture. Case Presentation: A 3-year-old girl presented to clinic with an outside noncontrast CT scan showing two 6-7 mm nonobstructing calculi in a mildly distended upper pole moiety of a duplex left kidney. Ureteral duplication status was unclear. The patient had suffered multiple febrile urinary tract infections throughout her life. Retrograde ureteropyelogram showed a stenotic waist in the upper pole ureter just proximal to the duplex ureteral convergence, and flexible ureteroscopy confirmed a congenital ureteral stricture. Simultaneous robot-assisted laparoscopic and ureteroscopic ureterolithotomy and ureteroplasty were offered and performed using a 3-armed robotic approach. The precise location of the stricture was identified robotically with simultaneous left ureteroscopy. A medial 1.5 cm longitudinal ureterotomy was made through the ureteral stricture to facilitate upper moiety ureterorenoscopy. The calculi were visualized in the upper moiety and retrieved in whole using a stone basket. The calculi were passed via the ureterotomy to the robotic instruments intraperitoneally. The longitudinal ureterotomy was closed transversely. A ureteral stent was placed, and indocyanine green was administered intravenously to confirm good perfusion of the ureteroplasty segment via fluorescence imaging. The stent was removed at 4 weeks. Retrograde ureterography and flexible ureteroscopy revealed complete patency of the anastomosis. At 11 months, the upper pole moiety remained decompressed on ultrasonography. The patient has remained off antibiotic prophylaxis without further infection. Conclusion: Robot-assisted approaches can be primary or adjunct tools in the definitive treatment of pediatric urolithiasis with concomitant urinary tract abnormalities.
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Affiliation(s)
- Rachel A Locke
- Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Elizabeth P Kwenda
- Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Jeremy Archer
- Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Jeremy Bergamo
- Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Maria Paula Domino
- Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Romano T DeMarco
- Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Christopher E Bayne
- Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA
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Markatos K, Karamanou M, Korres D, Tsourouflis G, Damaskos C, Garmpis N, Androutsos G. Pierre Franco (1505-1578): An Innovative Surgeon of the 16th Century in the Treatment of Hernia and Lithotomy. Surg Innov 2018; 26:129-133. [PMID: 30472922 DOI: 10.1177/1553350618812280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Pierre Franco (1505-1578) was a brilliant surgeon of the Renaissance, a contemporary of Ambroise Paré. He made an impact on the history of surgery with his innovative approaches in the treatment of hernia, lithotomy, and the use of the suprapubic incision. The purpose of this study is to present a detailed account of his work, innovations, and achievements as well as the impact he made on the surgery of the Renaissance.
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Affiliation(s)
| | | | - Demetrios Korres
- 2 National and Capodistrian University of Athens, Athens, Attiki, Greece
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Fu L. Medical missionaries in China: John Glasgow Kerr (1824-1901) and cutting for the stone. J Med Biogr 2018; 26:194-202. [PMID: 27527639 DOI: 10.1177/0967772014533049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
With the introduction of Western medicine into China by Anglo-American medical missionaries in the early 19th century, Reverend Dr Peter Parker at the Canton Ophthalmic Hospital pioneered surgical operations in Chinese patients. The subsequent development of surgery for bladder stones at this institute by Parker's successor Dr John Kerr and colleagues is described.
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Affiliation(s)
- Louis Fu
- Department of Orthopaedics, the Chinese University of Hong Kong, Shatin, New Territories, Hong Kong
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Laios K. Wilhelm Fabricius von Hilden (1560-1634): The Pioneer of German Surgery. Surg Innov 2018; 25:301-303. [PMID: 29473453 DOI: 10.1177/1553350618759152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Wilhelm Fabricius von Hilden (1560-1634) or also known with his Latinized name Guilielmus Fabricius Hildanus is considered the founder of scientific German surgery. He introduced new surgical techniques and invented new surgical instruments for the surgical treatment of nasal polyps, stone bladder, breast and ocular cancer, hydrocele, and ascites, while very ingenious were his amputation techniques. His most important surgical treatise was Observationem et curationem chirurgicam centuriae sex ( Six Hundred Surgical Observations and Treatments) first published in 1606.
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Affiliation(s)
- Konstantinos Laios
- 1 National and Kapodistrian University of Athens, Athens, Attiki, Greece
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Abstract
To investigate the clinical significance of hepatic parenchyma incision by lithotomy near the second hepatic portal area for the treatment of complex hepatolithiasis.A retrospective study was conducted with 35 patients who had complicated hepatolithiasis in our hospital from January 2008 to December 2013, who underwent hepatic parenchyma incision by lithotomy near the second hepatic portal area. The perioperative and long-term outcomes included the stone clearance rate, operative morbidity and mortality, and the stone recurrence rate. Patients with a preoperative diagnosis of cholangiocarcinoma were excluded from the study.All patients with hepatic duct stones were mainly located at S2, S4, and S8 regions. Surgical methods included were hepatic parenchyma incision by lithotomy near the second hepatic portal area, or by combined partial hepatectomy. The mean follow-up period was 51 months. One patient died during hospitalization. The surgical morbidity was 17.6%, stone clearance rate was 88.2%, and final clearance rate was 94.1% followed by postoperative choledochoscopic lithotripsy. The stone recurrence rate was 15.6% and the occurrence of postoperative cholangitis was 11.8% during the follow-up period.Hepatic parenchyma incision by lithotomy near the second hepatic portal area is safe with satisfactory short and long-term outcome results for complicated hepatolithiasis.
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Affiliation(s)
- En Liang Li
- Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University
| | - Qian Feng
- Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University
| | - Qing Ping Yang
- Center of Assisted Reproduction, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - Wen Jun Liao
- Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University
| | - Wang Wei Liu
- Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University
| | - Yong Huang
- Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University
| | - Lin Quan Wu
- Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University
| | - Xiang Bao Yin
- Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University
| | - Jiang Hua Shao
- Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Nanchang University
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Emiliani E, Talso M, Beltrán-Suárez E, Doizi S, Traxer O. Reperfusion and Compartment Syndrome After Flexible Ureteroscopy in a Patient with an Iliac Vascular Graft. J Endourol Case Rep 2016; 2:224-226. [PMID: 27872901 PMCID: PMC5116701 DOI: 10.1089/cren.2016.0108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Background: Flexible ureteroscopy (fURS) is one of the main treatment options for urolithiasis less than 2 cm. Although fURS has no relative contraindication, some anatomical factors may need to be considered, as not all patients are suitable for the regular lithotomy position (LP). We report the case of a patient with a right iliac vascular graft that after an fURS without intraoperative incidences developed a reperfusion syndrome of the right lower limb. Case Presentation: A 46-year-old male patient was referred for treatment and follow-up in the cystinuric clinic after being found to have a 3 cm pelvic stone with a Double-J catheter in place after two failed sessions of shockwave lithotripsy. The patient was placed in the LP and a standard ureteroscopy was done with no intraoperative complications. During the first hour in the recovery room, the patient developed severe pain in the right calf muscle stiffness, edema, and increased volume. A postreperfusion and compartment syndrome diagnosis was made with emergency fasciotomy. Conclusion: To perform fURS, each case must be assessed individually. If a patient with an iliac vascular graft has to undergo fURS, the patient positioning must be modified by keeping the ipsilateral (or both) legs straight to avoid graft complications.
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Affiliation(s)
- Esteban Emiliani
- Department of Urology, Hôpital Tenon, Université Pierre et Marie Curie Paris VI, Paris, France.; Groupe de Recherche Clinique sur la Lithiase Urinaire, GRC n° 20, Sorbonne Universités, Paris VI, France
| | - Michele Talso
- Department of Urology, Hôpital Tenon, Université Pierre et Marie Curie Paris VI , Paris, France
| | - Edgar Beltrán-Suárez
- Department of Urology, Hôpital Tenon, Université Pierre et Marie Curie Paris VI , Paris, France
| | - Steeve Doizi
- Department of Urology, Hôpital Tenon, Université Pierre et Marie Curie Paris VI, Paris, France.; Groupe de Recherche Clinique sur la Lithiase Urinaire, GRC n° 20, Sorbonne Universités, Paris VI, France
| | - Olivier Traxer
- Department of Urology, Hôpital Tenon, Université Pierre et Marie Curie Paris VI, Paris, France.; Groupe de Recherche Clinique sur la Lithiase Urinaire, GRC n° 20, Sorbonne Universités, Paris VI, France
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11
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Talluri AK, Alluri KR, Gudipudi DK, Ahamed S, Sresty MM, Reddy AY. Study of positional dependence of dose to bladder, pelvic wall and rectal points in High-Dose-Rate Brachytherapy in cervical cancer patients. J Med Phys 2014; 38:178-84. [PMID: 24672152 PMCID: PMC3958997 DOI: 10.4103/0971-6203.121195] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2013] [Revised: 07/16/2013] [Accepted: 07/24/2013] [Indexed: 11/04/2022] Open
Abstract
The objective of the study is to examine the variation in doses to, Bladder, pelvic wall and Rectal Points when a patient is simulated in Supine (S Position) and Lithotomy M shaped positions (LM Position), respectively as part of Intracavitary Brachytherapy in Cervical Cancer patients. Patients (n = 19) were simulated and orthogonal images were taken in S Position and LM Positions on a physical simulator. Digital orthogonal X-ray images were transferred to Brachyvision Treatment Planning System via Dicom to generate treatment plans. Radio opaque dye of 7 ml was injected into the Foley bulb for identification and digitization of International Commission on Radiological Units and Measurements (ICRU) Bladder point. Pelvic side wall points were marked in accordance with ICRU 38 recommendations. A Rectal tube containing dummy source marker wire was used to identify Rectal Point. Students't-test was used to analyze the results. Doses in LM Position were lower and statistically significant when compared to S Position for ICRU Bladder Point, pelvic walls and Rectal Point. It was observed that movement of applicator could be the reason for the variations in doses between the two positions. Bladder, pelvic wall and rectal points systematically registered lower doses in LM Position as compared to S Position.
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Affiliation(s)
- Anil Kumar Talluri
- Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India
| | - Krishnam Raju Alluri
- Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India
| | - Deleep Kumar Gudipudi
- Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India
| | - Shabbir Ahamed
- Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India
| | - Madhusudhana M Sresty
- Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India
| | - Aparna Yarrama Reddy
- Department of Physics, Jawaharlal Nehru Technological University, Kukatpally, Hyderabad, Andhra Pradesh, India
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12
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Abstract
Percutaneous nephrostolithotomy (PCNL) is the treatment of choice for large (>2 cm) renal calculi and staghorn calculi. Percutaneous access into the kidney is often achieved by interventional radiologists, either prior to stone surgery or in conjunction with the urology team. Several basic techniques should be considered in gaining access to the kidney to avoid both intraoperative and postoperative complications. In this article, the authors discuss indications for PCNL, techniques for renal access, complications of PCNL, and management of these complications. They also briefly discuss management of post-operative drainage tube(s).
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Affiliation(s)
- Darryl A Zuckerman
- Department of Radiology, Washington University School of Medicine, St. Louis, Missouri
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