Tissue Sealant-is it Necessary After Percutaneous Nephrolithotomy (PNL) or Not?
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 1
Abstract
Purpose: to evaluate the safety and the advantages of haemotatic sealant in patients post tubeless PNL compared with that patient left without. Between January 2007 and April 2009, 100 patients with kidney stones were treated by tubeless PNL, they were divided in two groups, first group consisted of 51 patients in which the tract of PNL was filled with tissue sealant at the end of the procedure while the second group consisted of 49 patients, no tissue sealant was left. The mean age was 39.52 and 37.93 respectively while stone size was 1.5-6cm (mean 3.5) and 15-7cm (3.6) respectively. PNL was done in prone position in both groups. Operative time was comparable in both group, tissue sealant group was 15-90 minutes (mean 43.33) while no tissue sealant groups was 20-80 minutes mean (41.42) with no significant difference as p value was 0.686 and HB drop post operatively was from 0.3-4 gms mean (1.2) and .03-5 gms (mean 1.7) respectively without significant differences as p value was 0.455. Also hospital stay and complications were comparable. Tissue sealant is safe to be used post PNL but no advantages over if the tract is left without tissue sealant mainly from the points of hospital stay, Hb drop or urine leakage. Keywords: Tissue Sealant, PNL, Tubeless.
Authors and Affiliations
Mohammed Alwan, Abdulelah Ghilan, Khalid M. Al-badwey, Tawfik H. A1-Ba’adani
Keywords
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