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
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- EP ID EP375184
- DOI 10.9790/0853-1705106872.
- Views 25
- Downloads 0
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