COMPARISON OF BLEEDING COMPLICATION OF PERCUTANEOUS NEPHROLITHOTOMY IN PATIENTS WITH AND WITHOUT PREVIOUS OPEN NEPHROLITHOTOMY SURGERY

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RAHMANI MOHAMMAD MAHDI; AMELI MOJTABA; GHOLAMI MAHTAJ LEYLA; SHAKIBA BEHNAM; ZANJANKHAH MOHAMMAD REZA

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Journal: Journal of Sabzevar University of Medical Sciences Year:2014 | Volume:20 | Issue:4 Page(s): 556-562

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Title

COMPARISON OF BLEEDING COMPLICATION OF PERCUTANEOUS NEPHROLITHOTOMY IN PATIENTS WITH AND WITHOUT PREVIOUS OPEN NEPHROLITHOTOMY SURGERY

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HEMORRHAGEQ3

KIDNEY STONESQ2

PERCUTANEOUS NEPHROLITHOTOMYQ2

Abstract

Background: PERCUTANEOUS NEPHROLITHOTOMY (PCNL) is less invasive treatment for KIDNEY STONES. This technique is preferred in patients with a history of open nephrolithotomy surgery due to fewer side effects. In this study, bleeding complication was compared in patients with and without history of open kidney surgery.Materials & Methods: In this cross sectional study, PCNL was performed in 73 patients (17 patients with a history of open nephrolithotomy surgery (group 1) and 56 patients without any history of surgery (group 2)) referring to Imam Reza Hospital, Mashhad, between 2010-2011. Serum hematocrit (Hct) before and after surgery, irrigation fluid volume used in operation room, and Hct of irrigation fluid were considered as a measure of bleeding. Obtained data were statistically analyzed in SPSS software, version 15, using independent-sample T-test, Man-Whitney U test and Pearson test. A P<0.05 was considered significant.Results: The irrigation fluid used in group 1 was 14.8 liters, while this was 7.9 liters in another group (p<0.001). Decrease in hematocrit level was 10 in group 1 and 4.05 in group 2. This difference was statistically quite significant (P<0.001). Mean blood loss volume was 405.7cc and 103.2cc in group 1 and 2, respectively (P<0.001).Conclusion: The results of this study showed that the PCNL bleeding complications is seen more in patients with a history of open kidney surgery. Irrigation fluid hematocrit may be considered as a reliable index for the bleeding measurement of patient, independent of serum intake and hydration.

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APA: Copy

RAHMANI, MOHAMMAD MAHDI, AMELI, MOJTABA, GHOLAMI MAHTAJ, LEYLA, SHAKIBA, BEHNAM, & ZANJANKHAH, MOHAMMAD REZA. (2014). COMPARISON OF BLEEDING COMPLICATION OF PERCUTANEOUS NEPHROLITHOTOMY IN PATIENTS WITH AND WITHOUT PREVIOUS OPEN NEPHROLITHOTOMY SURGERY. JOURNAL OF SABZEVAR UNIVERSITY OF MEDICAL SCIENCES, 20(4), 556-562. SID. https://sid.ir/paper/81774/en

Vancouver: Copy

RAHMANI MOHAMMAD MAHDI, AMELI MOJTABA, GHOLAMI MAHTAJ LEYLA, SHAKIBA BEHNAM, ZANJANKHAH MOHAMMAD REZA. COMPARISON OF BLEEDING COMPLICATION OF PERCUTANEOUS NEPHROLITHOTOMY IN PATIENTS WITH AND WITHOUT PREVIOUS OPEN NEPHROLITHOTOMY SURGERY. JOURNAL OF SABZEVAR UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2014;20(4):556-562. Available from: https://sid.ir/paper/81774/en

IEEE: Copy

MOHAMMAD MAHDI RAHMANI, MOJTABA AMELI, LEYLA GHOLAMI MAHTAJ, BEHNAM SHAKIBA, and MOHAMMAD REZA ZANJANKHAH, “COMPARISON OF BLEEDING COMPLICATION OF PERCUTANEOUS NEPHROLITHOTOMY IN PATIENTS WITH AND WITHOUT PREVIOUS OPEN NEPHROLITHOTOMY SURGERY,” JOURNAL OF SABZEVAR UNIVERSITY OF MEDICAL SCIENCES, vol. 20, no. 4, pp. 556–562, 2014, [Online]. Available: https://sid.ir/paper/81774/en

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