Comparison of outcomes of Percutaneous Nephrolithotomy Using Pneumatic Lithotripsy and in Combination with Ultrasonic Lithotripsy for Renal stones in Stanley Medical College Hospital,Chennai
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Fernstrom and Johansson first removed a renal calculus through a nephrostomy tract in 1976, and percutaneous nephrolithotomy (PCNL) is now accepted as the procedure of choice .15 (group A) and 14 (group B) patients underwent Lithoclast PCNL and combination therapy, respectively, from March 2017 to July 2017, and the two groups were compared in terms of stone size, location, and composition, operative time; average number of treatments; hospital days; hemoglobin loss; ancillary procedures; rate of device failure; and initial and total stone-free rates.The two groups did not differ significantly in preoperative stone size, location, or composition; the average number of treatments; or the initial and overall stone-free rates. However, combination therapy was associated with a significantly lower operative time number of hospital days and average hemoglobin loss . Transfusions were required in 6 patients (4 and 2 in each group, respectively), but there were no significant complications related to percutaneous access. The combination of ultrasonic lithotripter and pneumatcLithoclast is more effective than pneumatic Lithoclast alone because it significantly decreases operative time, hemoglobin loss, and the hospital stay
Authors and Affiliations
Dr. J. V. S. Prkash, Dr. P. Gunaseelan
Keywords
Related Articles
- EP ID EP375184
- DOI 10.9790/0853-1705106872.
- Views 39
- Downloads 0
Midgut malrotation presenting as acute bowel obstruction in an adult with literature review
Malrotation of the midgut is generally regarded as paediatric pathology with the majority of patients presenting in childhood. The diagnosis is rare in adults, which sometimes leads to delay in diagnosis and treatment. A...
Knowledge of Palliative Care among Nurses in a Tertiary Hospital in Manipur
Background: With the rising burden of non-communicable diseases and ageing population, the need for palliative care (PC) will continue to grow. Nurses who are the primary caregivers to the hospitalized are expected to po...
Otorhinolaryngological, Head and Neck Morbidity Profile of Geriatric Patients in a Tertiary Health Institution in a Developing Country
Background: There is need to increase otorhinolaryngological services for geriatric patients in developing countries. This study aimed at determining the prevalence, sociodemographic features, types, comorbid illnesses a...
Efficacy of Mannheim Peritonitis Index (MPI) Score In Patients With Peritonitis
Peritonitis presents most commonly due to localized or generalized infection caused from various factors. Despite advances in diagnosis, management and critical care of patients for patients with peritonitis due to hollo...
Cardiovascular Disease Admissions in Medical Wards of a Tertiary Hospital in North - Western Nigeria.
Introduction: Cardiovascular disease (CVD) is a leading cause of death worldwide and has shown increase in its prevalence since the 19th century.The increase in prevalence was attributable to epidemiologic transition wit...