Evaluation of Supracostal Punctures in PCNL
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Aim: Aim Of Our Study On Effective Stone Clearance Rate, To Analyze And Study The Intra And PostOperative Complications And To Study The Morbidity In Terms Of Hospital Stay.Materials And Methods: It Is A Prospective Study Conducted In The Department Of Urology In Patients With Large Renal Calculi, Upper 1/3rd Ureteric, PUJ Calculus And Calyceal Calculi.Total 100 Patients Were Selected For The Study. 52cases Of Supracostal PCNL And 48 Cases Of Subcostal PCNL.Results: Duration Of Surgery Is Significantly <0.05 In Supracostal Group In Comparision With Subcostal Group Were As And Hospital Stay Are Less In Supracostal Group But Not Significantly. 96 .1 % Stone Clearance Is There In Supracostal Group And 93.75% Subcostal Group. All Cases Of Supracostal Group Have Single Puncture And 2.3 % Required Supra 11th Rib Punctures. 97.7% Of Cases Required Supra 12th Rib Punctures. Post Operative Fever Was Observed In Both Groups. Post -Operative X-Ray KUB On Day Two Showed Insignificant Calculi In 5% And Significant Calculi In 2.5% Of Subcostal Group. Post-Operative X-Ray KUB On Day Two Showed Insignificant Calculi In 4.76% Of Supracostal Group. Conclusions: Supracostal PCNL Is A Safe Procedure With Acceptable Morbidity.
Authors and Affiliations
V. Vishnu Vardhana Reddy 1*
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