Percutaneous Nephrolithotomy: Is Distilled Water as Safe as Saline for Irrigation?

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HOSSEINI MOHAMMAD MEHDI; HASSANPOUR ABBAS; MANAHEJI FARHAD; YOUSEFI ALIREZA; Damshenas Mohammad Hassan; HAGHPANAH SEZANEH

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Journal: UROLOGY JOURNAL Year:2014 | Volume:11 | Issue:3 Page(s): 1551-1556

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Title

Percutaneous Nephrolithotomy: Is Distilled Water as Safe as Saline for Irrigation?

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Keywords

nephrostomy

percutaneous

postoperative complications

intraoperative care

therapeutic irrigation

Abstract

Purpose: To compare dilutional effect of distilled water with saline solution as an irrigation fluid in percutaneous nephrolithotomy (PCNL). Materials and Methods: Three hundred twenty eight adult patients (191 men, 137 women) who were candidates for PCNL were randomly assigned into two groups (distilled water, n = 158, group 1; saline solution, n = 162, group 2). Stone size, operation time, irrigation fluid volume, blood hemoglobin level, urea nitrogen, creatinine, sodium and potassium levels were checked before and at 6 and 12 hours after operation. Results: The mean age of the patients was 37. 8 years, and the mean stone diameter was 31. 5 mm. There was no clinical case of transurethral resection (TUR) syndrome. Serum sodium depletion was significantly more in group 1 than group 2 (P <. 0001). Group 1 had significant decreased post-operative serum sodium levels (P <. 0003). Similarly in group 2, postoperative serum sodium levels were significantly lower than the preoperative concentration (P <. 01), but it was not the same 6 hours after the operation (P =. 23). Serum sodium concentrations remained within normal limits in all cases, without causing clinical signs and symptoms of hyponatremia. Conclusion: We found that distilled water is safe irrigation fluid for PCNL in adults. In addition, it is more available and cost effective.

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APA: Copy

HOSSEINI, MOHAMMAD MEHDI, HASSANPOUR, ABBAS, MANAHEJI, FARHAD, YOUSEFI, ALIREZA, Damshenas, Mohammad Hassan, & HAGHPANAH, SEZANEH. (2014). Percutaneous Nephrolithotomy: Is Distilled Water as Safe as Saline for Irrigation?. UROLOGY JOURNAL, 11(3), 1551-1556. SID. https://sid.ir/paper/271105/en

Vancouver: Copy

HOSSEINI MOHAMMAD MEHDI, HASSANPOUR ABBAS, MANAHEJI FARHAD, YOUSEFI ALIREZA, Damshenas Mohammad Hassan, HAGHPANAH SEZANEH. Percutaneous Nephrolithotomy: Is Distilled Water as Safe as Saline for Irrigation?. UROLOGY JOURNAL[Internet]. 2014;11(3):1551-1556. Available from: https://sid.ir/paper/271105/en

IEEE: Copy

MOHAMMAD MEHDI HOSSEINI, ABBAS HASSANPOUR, FARHAD MANAHEJI, ALIREZA YOUSEFI, Mohammad Hassan Damshenas, and SEZANEH HAGHPANAH, “Percutaneous Nephrolithotomy: Is Distilled Water as Safe as Saline for Irrigation?,” UROLOGY JOURNAL, vol. 11, no. 3, pp. 1551–1556, 2014, [Online]. Available: https://sid.ir/paper/271105/en

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