INCIDENCE AND MANAGEMENT OF MAJOR COMPLICATIONS OF URETEROSCOPIC LITHOTRIPSY IN ESFAHAN, IRAN DURING 1994-2006

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YAZDANI MOHAMMAD; SALEHI PEYMAN

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Journal: Journal of Gorgan University of Medical Sciences Year:2008 | Volume:9 | Issue:4 (24) Page(s): 36-40

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Title

INCIDENCE AND MANAGEMENT OF MAJOR COMPLICATIONS OF URETEROSCOPIC LITHOTRIPSY IN ESFAHAN, IRAN DURING 1994-2006

Author(s)

YAZDANI MOHAMMAD | SALEHI PEYMAN | Issue Writer Certificate

Keywords

URETEROSCOPIC LITHOTRIPSYQ3

URETERAL CALCULIQ3

MAJOR COMPLICATIONSQ3

Abstract

Background & Objective: URETEROSCOPIC LITHOTRIPSY is a prevalent and minimally invasive modality for the management of URETERAL CALCULI. This study was done evaluate to the incidence and management of MAJOR COMPLICATIONS in 3900 cases of URETEROSCOPIC LITHOTRIPSY.Materials & Methods: This descriptive – cross sectional study was done on 3900 cases of URETEROSCOPIC LITHOTRIPSY in Isfahan – Iran, during 1994-2006. All complications and treatment of patients recorded.Results: MAJOR COMPLICATIONS occurred in 29 cases either intraoperatively or postoperatively (1 to 30 days), including ureteral perforation in 16 cases, ureteral avulsion in 7, urinoma in 4 and perinephric abcess in 2. Two cases of uretral avulsion at the ureterovesical junction underwent ureteroneocystostomy. The other 5 cases were managed by psoas hitch together with Boari flap, transureteroureterostomy, open placement of double J stent with omental wrap, and ureteroscopic placement of double J stent and ileal substitution. Urinomas were managed by percutaneous drainage of the urinoma and placement of double J stent (3 cases) and open surgery (1 case). Two cases of perinephric abscess were managed by open surgical procedure and double J placement. Fourteen cases of ureteral perforation were managed by ureteroscopic double J placement and in 2 cases by open surgery.Conclusion: URETEROSCOPIC LITHOTRIPSY is an excellent and minimally invasive modality for the management of URETERAL CALCULI. MAJOR COMPLICATIONS may occur, emphasizing the need for constant vigilance and precautionary measures.

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APA: Copy

YAZDANI, MOHAMMAD, & SALEHI, PEYMAN. (2008). INCIDENCE AND MANAGEMENT OF MAJOR COMPLICATIONS OF URETEROSCOPIC LITHOTRIPSY IN ESFAHAN, IRAN DURING 1994-2006. JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES, 9(4 (24)), 36-40. SID. https://sid.ir/paper/78883/en

Vancouver: Copy

YAZDANI MOHAMMAD, SALEHI PEYMAN. INCIDENCE AND MANAGEMENT OF MAJOR COMPLICATIONS OF URETEROSCOPIC LITHOTRIPSY IN ESFAHAN, IRAN DURING 1994-2006. JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2008;9(4 (24)):36-40. Available from: https://sid.ir/paper/78883/en

IEEE: Copy

MOHAMMAD YAZDANI, and PEYMAN SALEHI, “INCIDENCE AND MANAGEMENT OF MAJOR COMPLICATIONS OF URETEROSCOPIC LITHOTRIPSY IN ESFAHAN, IRAN DURING 1994-2006,” JOURNAL OF GORGAN UNIVERSITY OF MEDICAL SCIENCES, vol. 9, no. 4 (24), pp. 36–40, 2008, [Online]. Available: https://sid.ir/paper/78883/en

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