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https://www.readbyqxmd.com/read/29790366/do-illuminated-foot-pedals-improve-the-speed-and-accuracy-of-pedal-activation-during-endoscopic-procedures
#1
Brian C Shin, Christopher K Heinrich, Julie W Cheng, Mohamed Keheila, Jim Ken-Chie Shen, Patrick W Yang, Salim Cheriyan, Samuel R Abourbih, Nazih Khater, D Duane Baldwin
PURPOSE: Endourologic procedures like percutaneous nephrolithotomy (PCNL) employ the use of foot pedals in low-light operating room (OR) settings. These pedals can be especially difficult to locate or distinguish when several pedals are present during a single operation. Improper instrument activation in the OR has led to serious complications ranging from unintentional electrocautery to patient burns and even an intraoperative explosion. This study evaluates the impact of color-coded illumination on speed and efficiency of foot pedal activation...
May 23, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29783584/re-subcapsular-splenic-urinoma-and-splenorenal-fistula-a-new-complication-of-percutaneous-nephrolithotomy
#2
Dean G Assimos
No abstract text is available yet for this article.
June 2018: Journal of Urology
https://www.readbyqxmd.com/read/29783554/re-pre-and-postoperative-predictors-of-infection-related-complications-in-patients-undergoing-percutaneous-nephrolithotomy
#3
Edward M Schaeffer
No abstract text is available yet for this article.
June 2018: Journal of Urology
https://www.readbyqxmd.com/read/29779995/factors-predicting-postoperative-febrile-urinary-tract-infection-following-percutaneous-nephrolithotomy-in-prepubertal-children
#4
Onur Kaygısız, Nihat Satar, Ali Güneş, Hasan Serkan Doğan, Ahmet Erözenci, Ender Özden, Mehmet Mesut Pişkin, Deniz Demirci, Serdar Toksöz, Tufan Çiçek, Serhat Gürocak, Hakan Kılıçarslan, Oktay Nazlı, Aykut Kefi, Volkan İzol, Ali Beytur, Şaban Sarıkaya, Serdar Tekgül, Bülent Önal
BACKGROUND: Predictive tables and scoring systems can predict stone clearance. However, there is a paucity of evidence regarding the prediction of complications during percutaneous nephrolithotomy (PCNL), particularly in children, which remains under-researched. To our knowledge, no studies have evaluated the risk factors for febrile urinary tract infection (FUTI) after pediatric PCNL. OBJECTIVES: To assess the predictive factors of FUTI in prepubertal children after PCNL and determine whether any prophylactic cephalosporins are superior for decreasing the FUTI rate...
May 5, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29779316/-the-necessity-of-artificial-kidney-seeper-in-the-ultrasonography-guided-percutaneous-nephrolithotomy-a-randomized-controlled-study
#5
J J Ye, Y Yang, H J Zhang, Y C Zheng, Y Pan, H Xie
Objective: To investigate the necessity of artificial kidney seeper which made through inserting a ureteral tube in the ureter to the ultrasonography-guided percutaneous nephrolithotomy (PCNL). Methods: This was a randomized prospective study. Patients who conformed to the inclusion and exclusion criteria were enrolled at Department of Urology, Frist Affiliated Hospital of Wenzhou Medical University from January 2016 to May 2017. Totally 291 patients were included in the study. Patients were randomly assigned into two groups (artificial kidney seeper group and non-artificial kidney seeper group) in different kidney seeper level (5 to <10 mm, 10 to 20 mm) respectively...
May 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29774824/technique-of-percutaneous-nephrolithotomy
#6
Ahmed Ibrahim, Daniel Wollin, Glenn Preminger, Sero Andonian
According to the latest American and European Urological Association guidelines, percutaneous nephrolithotomy (PNL) is the current gold standard treatment for patients presenting with symptomatic large or complex renal stones ≥2 cm. This review chapter and accompanying videos will review the latest literature on indications, preoperative preparations, different patient positions, in addition to step by step explanations for the technique of PNL. Postoperative care and troubleshooting tips are provided. Furthermore, latest reported outcomes are reviewed...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29774807/robotic-pyelolithotomy-extended-pyelolithotomy-nephrolithotomy-and-anatrophic-nephrolithotomy
#7
Rabii Madi, Ashok Hemal
INTRODUCTION: We are a reporting on the indications, techniques, and limitations of robotic surgery in the management of renal stones disease. Robotic surgery is a good tool to manage large kidney and ureteral stones, particularly in patients with anatomic anomalies. We describe three techniques in managing staghorn kidney stones: robotic anatrophic nephrolithotomy, robotic pyelolithotomy, and robotic nephrolithotomy. MATERIAL AND METHODS: Robotic pyelolithotomy (RP) is ideal for patients with large renal pelvis and partial staghorn stone with a wide extra-renal pelvis...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29761689/percutaneous-nephrolithotomy-in-solitary-kidneys-effective-safe-and-improves-renal-functions
#8
Volkan Caglayan, Sedat Oner, Efe Onen, Sinan Avci, Murat Aydos, Metin Kilic, Murat Demirbas
BACKGROUND: To evaluate success and complication rates of endourological stone treatments and to evaluate effects of percutaneous nephrolithotomy (PCNL) on renal functions, in patients with solitary kidneys. METHODS: In our center, 3150 patients underwent PCNL between 2003 and 2017 and 142 patients underwent retrograd intrarenal surgery (RIRS) between 2013 and 2017. We retrospectively analysed the data of 82 patients with solitary kidney who underwent PCNL and of 8 patients with solitary kidney who underwent RIRS...
May 14, 2018: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/29761226/renal-stone-composition-does-not-affect-the-outcome-of-percutaneous-nephrolithotomy-in-children
#9
Onur Kaygısız, Fethi Ahmet Türegün, Nihat Satar, Ender Özen, Serdar Toksöz, Hasan Serkan Doğan, Mehmet Mesut Pişkin, Volkan İzol, Şaban Sarıkaya, Hakan Kılıçarslan, Tufan Çiçek, Ahmet Öztürk, Serdar Tekgül, Bülent Önal
PURPOSE: We sought to investigate the association between renal stone composition and percutaneous nephrolithotomy outcomes in pediatric patients and define the characterization of the stone composition. METHODS: The data of 1157 children who underwent percutaneous nephrolithotomy between 1991 and 2012 were retrieved from the multicenter database of the Turkish Pediatric Urology Society. The study population comprised 359 children (160 girls, 199 boys) with stone analyses...
May 14, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29747780/comparison-of-miniaturized-percutaneous-nephrolithotomy-and-flexible-ureterorenoscopy-for-moderate-size-renal-stones-in-elderly-patients
#10
Faruk Ozgor, Fatih Yanaral, Metin Savun, Harun Ozdemir, Ufuk Caglar, Omer Sarilar
Life expectancy has become longer, thus the number of elderly people who require treatment for nephrolithiasis has increased. We aimed to analyze the efficacy of flexible ureterorenoscopy (f-URS) and miniaturized percutaneous nephrolithotomy (mPNL) in the management of 10 and 30 mm renal stones in patients aged >60 years. In prospective non-randomized series, the data of patients who underwent f-URS or mPNL for kidney stones between July 2013 and July 2016 were analyzed. The procedure was accepted as successful if the patient was achieved complete stone clearance according to CT imaging between 1-3 months postoperatively...
June 2018: Kaohsiung Journal of Medical Sciences
https://www.readbyqxmd.com/read/29741117/biplanar-oblique-access-technique-a-new-approach-to-improve-the-success-rate-of-percutaneous-nephrolithotomy
#11
Abbas Basiri, Behnam Shakiba, Hasan Hoshyar, Anahita Ansari, Alireza Golshan
INTRODUCTION: Achieving suitable percutaneous access to the kidney is the most important step in percutaneous nephrolithotomy. The triangulation biplanar access technique under fluoroscopy is the standard method to achieve percutaneous renal access, but it is not successful in all cases. We used the new biplanar oblique access technique as a rescue method for the failed standard biplanar technique. The aim of this study was to evaluate the effects of this oblique access technique on access outcome...
May 1, 2018: Urologia
https://www.readbyqxmd.com/read/29723587/duplex-ultrasound-guided-direct-percutaneous-management-of-pseudoaneurysm-of-branch-of-segmental-renal-artery-technique-and-its-outcome
#12
Kumar Manoj, Gaurav Garg, Deepak Nagathan, Sanjeev Kumar Verma, Neera Kohli, Santosh Kumar, Sant Kumar Pandey, Satya Narayan Sankhwar
OBJECTIVE: To describe the role of Duplex-Ultrasound Imaging (DUI) in prompt diagnosis of pseudoaneurysm (PSA) of a branch of the segmental renal artery (b-SRA) and evaluate outcomes of DUI directed percutaneous embolization. METHODS: Forty-five patients were referred to us for the management of intractable renal hematuria. 20 cases (44.44%) had developed PSA after nephrolithotomy. 12 cases (12.66%) had developed PSA after guided renal biopsies. 6 cases (13.33%) had developed PSA following road side trauma...
April 30, 2018: Urology
https://www.readbyqxmd.com/read/29719340/embolization-with-onyx-%C3%A2-of-an-arterial-pseudoaneurysm-with-an-arteriovenous-fistula-complicating-a-percutaneous-nephrolithotomy-a-case-report-and-review-of-literature
#13
Ana Isabel Simões Ferreira, Filipe Veloso Gomes, Tiago Bilhim, Élia Coimbra
Percutaneous nephrolithotomy (PCNL) has proven very effective in the management of renal stones. However, complications are not so rare, and bleeding is one of the most worrisome; it has a reported incidence of 1%-3% and may happen during track dilatation. In addition, arterial pseudoaneurysms and/or arteriovenous fistulas (AVF) may occur. We report the case of a patient with an intrarenal pseudoaneurysm associated with an AVF, after PCNL. Superselective endovascular embolization with Onyx® was successfully performed, achieving exclusion of the pseudoaneurysm and AVF with preservation of the remaining vascularization of the kidney...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719328/miniaturized-percutaneous-nephrolithotomy-versus-retrograde-intrarenal-surgery-in-the-treatment-of-renal-stones-with-a-diameter-15-mm-a-3-year-open-label-prospective-study
#14
Sunil Mhaske, Mehul Singh, Abhirudra Mulay, Sharadkumar Kankalia, Vikram Satav, Vilas Sabale
Aim: The aim of this study is to compare the outcomes of miniaturized percutaneous nephrolithotomy (mini-perc) and retrograde intrarenal surgery (RIRS) in management of renal stones with a diameter <15 mm. Materials and Methods: This was an open-label prospective study that included a total of 80 cases underwent mini-perc ( n = 40) and RIRS ( n = 40) between July 2014 and August 2017. The primary outcome objective was stone-free rate, retreatment rate, complications, hospital stay, operative time, and reduction in hemoglobin level...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29717295/risk-factors-for-postoperative-complications-after-percutaneous-nephrolithotomy
#15
Robin Bahadur Basnet, Anil Shrestha, Parash Mani Shrestha, Bishwa Raj Joshi
BACKGROUND: To identify the perioperative factors associated with complications after percutaneous nephrolithotomy by classification of complications according to the modified Clavien scoring system and evaluation of the minor and major complications related to the procedure. METHODS: A prospective study of all the percutaneous nephrolithotomy performed by standard technique within 1.5 years at Bir Hospital was made. Possible demographic, preoperative and intraoperative variables were included in the study and patients were followed up postoperatively for any complications...
March 13, 2018: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29700572/long-term-effects-of-anatrophic-nephrolithotomy-on-selective-renal-function
#16
Ahmed R El-Nahas, Amr A Elsawy, Ahmed Abdelhalim, Mohamed M Elsaadany, Yasser Osman
To evaluate the long-term changes of selective renal function after anatrophic nephrolithotomy (ANL). A retrospective study was conducted for patients who underwent ANL between January 1995 and December 2016. Inclusion criteria were availability of preoperative and follow-up (1 year or more) radio-isotopic renal scans. Stone-free status was evaluated after 1 month with KUB and ultrasonography or NCCT. Renal isotope scans using 99mTc MAG3 were performed to measure the changes in selective function of the affected kidney (GFR%)...
April 26, 2018: Urolithiasis
https://www.readbyqxmd.com/read/29699415/automated-needle-targeting-with-x-ray-ant-x-robot-assisted-device-for-percutaneous-nephrolithotomy-pcnl-with-its-first-successful-use-in-human
#17
Mon Mon Oo, Himesh Ramesh Gandhi, Kian-Tai Chong, Jin-Quan Goh, Ka-Wei Ng, Aung-Thaw Hein, Yung K Tan
INTRODUCTION: To make percutaneous access easier in PCNL, we developed Automated Needle Targeting with X-ray (ANT-X) Method: ANT-X uses an image registration software with a closed loop feedback system to autoalign the puncture needle to the desired calyx using the bullseye technique. We tried percutaneous punctures on a live pig model and compared the results with free-hand technique. We then performed our first PCNL in a human subject with the aid of ANT-X. Our patient was a 48 year-old gentleman with a 1...
April 27, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29695185/externalized-ureteral-catheter-versus-double-j-stent-in-tubeless-percutaneous-nephrolithotomy-for-upper-urinary-stones-a-systematic-review-and-meta-analysis
#18
Yiwen Chen, Jianhua Feng, Youwei Yue, Zhijian Zhao, Tuo Deng, Wenqi Wu, Guohua Zeng
Objective The objective of this meta-analysis was to compare the efficacy and safety of externalized ureteral catheter (EUC) and double-J stent (DJS) in tubeless percutaneous nephrolithotomy (PCNL) for patients with upper urinary stones based on published literature. Materials and Methods A comprehensive literature search using Pubmed, Embase, and Cochrane Library was performed to find studies comparing outcomes of EUC and DJS for treating patients with upper urinary stones up to Dec 2017. 7 studies, which included 863 patients from 5 randomized controlled trials(RCTs) and 2 non-RCTs published between 2009 and 2017, met our inclusion criteria and were included in this systematic review and meta-analysis...
April 26, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29692515/author-reply-wei-gan-jj-lia-gan-jj-hsien-gan-jj-lee-kt-lateral-percutaneous-nephrolithotomy-a-safe-and-effective-surgical-approach-indian-j-urol-2018-34-45-50
#19
Jasmine Ju-Hsien Gan, Jaslyn Ju-Lia Gan, Jonathan Jian-Wei Gan, Kim Tiong Lee
No abstract text is available yet for this article.
April 2018: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/29692434/re-wei-gan-jj-lia-gan-jj-hsien-gan-jj-lee-kt-lateral-percutaneous-nephrolithotomy-a-safe-and-effective-surgical-approach-indian-j-urol-2018-34-45-50
#20
COMMENT
Sudheer Kumar Devana, Aditya Prakash Sharma, Kalpesh M Parmar
No abstract text is available yet for this article.
April 2018: Indian Journal of Urology: IJU: Journal of the Urological Society of India
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