TUBELESS PERCUTANEOUS NEPHROLITHOTOMY: A RANDOMIZED PROSPECTIVE STUDY

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AMJADI MOHSEN; SALEHI SOHRAB

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Seminar Paper

Paper Information

Seminar: CONGREH ANJOMAN UROLOGY IRAN
Year:2005 | Issue:8

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Title

TUBELESS PERCUTANEOUS NEPHROLITHOTOMY: A RANDOMIZED PROSPECTIVE STUDY

Author(s)

AMJADI MOHSEN | SALEHI SOHRAB

Keywords

PERCUTANEOUS NEPHROLITHOTOMY

RENAL STONE

NEPHROSTOMY

Abstract

PROPOSE: COMPARISON OF RESULTS AND COMPLICATIONS BETWEEN STANDARD AND TUBELESS PCNL. METHODS & MATERIALS: THE TOTAL OF 40 PATIENTS WITH RENAL STONE UNDERWENT PCNL. THIS PATIENTS DIVIDED INTO TWO GROUPS BY RANDOMIZATION. BOTH GROUPS UNDERWENT PCNL LIKEWISE. AT THE END OF PROCEDURE PATIENTS IN CONTROL GROUP NEPHROSTOMY TUBE WAS PLACED AND FOR PATIENTS IN THE OTHER GROUP NEPHROSTOMY WAS NOT USED AND CUTANEOUS INCISION WAS SUTURED. THE INCIDENCES OF HEMORRHAGE, HEMATOMA, URINARY LEAKAGE, URINOMA, HOSPITAL STAY ANALGESIA REQUIREMENT AND STONE FREE RATE HAVE BEEN COMPARED BETWEEN TWO GROUPS. RESULTS: NO PATIENT NEEDED FOR BLOOD TRANSFUSION AND NO PATIENT HAD PERIRENAL HEMATUMA AS CONTROLLED BY SONOGRAPHY 1 DAY AND 1 WEEK AFTER PCNL. ONE PATIENT FROM TUBELESS GROUP HAD URINE COLLECTION (2*2 CM) THAT DISAPPEARED TWO WEEKS THEREAFTER. MEAN STONE SIZE IN STANDARD GROUP WAS 31 MM AND 30MM IN TUBELESS GROUP. MEAN HOSPITAL STAY IN STANDARD AND TUBELESS GROUP WAS 3.7 AND 2.5 DAYS RESPECTIVELY. MEAN ANALGESIC USE (PETHIDINE) IN STANDARD AND TUBELESS GROUPS WERE 50 MG AND 40 MG RESPECTIVELY. OVERALL STONE FREE RATE OF BOTH GROUPS WERE 85% ON THE DAY AFTER SURGERY AND 95% ONE MONTH THEREAFTER BY CONSERVATIVE MANAGEMENT OF RESIDUAL FRAGMENTS. DISCUSSION & CONCLUSION: TUBELESS PCNL IS SAFE AND EFFECTIVE PROCEDURE AND CAN DECREASE HOSPITAL STAY AND POST OPERATIVE DISCOMFORT.

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APA: Copy

AMJADI, MOHSEN, & SALEHI, SOHRAB. (2005). TUBELESS PERCUTANEOUS NEPHROLITHOTOMY: A RANDOMIZED PROSPECTIVE STUDY. CONGREH ANJOMAN OROLOGY IRAN. SID. https://sid.ir/paper/905340/en

Vancouver: Copy

AMJADI MOHSEN, SALEHI SOHRAB. TUBELESS PERCUTANEOUS NEPHROLITHOTOMY: A RANDOMIZED PROSPECTIVE STUDY. 2005. Available from: https://sid.ir/paper/905340/en

IEEE: Copy

MOHSEN AMJADI, and SOHRAB SALEHI, “TUBELESS PERCUTANEOUS NEPHROLITHOTOMY: A RANDOMIZED PROSPECTIVE STUDY,” presented at the CONGREH ANJOMAN OROLOGY IRAN. 2005, [Online]. Available: https://sid.ir/paper/905340/en

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