VID-03.10: Novel technique for percutaneous nephrolithotomy in lateral decubitus flank position

Urology ◽  
2007 ◽  
Vol 70 (3) ◽  
pp. 179 ◽  
Author(s):  
H. Karami ◽  
A.H.M.M. Arbab
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Novel Technique ◽  
Lateral Decubitus

scholarly journals Single-Step Renal Dilatation Is a Novel Technique in Percutaneous Nephrolithotomy: A Prospective Randomised Study

2020 ◽  
Vol 20 (2) ◽  
pp. 70-73
Author(s):  
Md Shariful Islam ◽  
Md Shawkat Alam ◽  
AHM Mostofa Kamal ◽  
Md Asaduzzamman ◽  
Md Ruhul Quddus
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Perioperative Complications ◽  
Single Step ◽  
Safety And Efficacy ◽  
X Ray ◽  
Randomised Study ◽  
Operative Duration ◽  
Novel Technique ◽  
Significant Difference ◽  
Prospective Randomised Study

Purpose: To evaluate the feasibility, safety and efficacy of one-shot dilation (OSD) in percutaneous nephrolithotomy (PCNL). Materials and Methods: In a prospective randomised study including 62 patients divided into two groups, the first had RD before PCNL using the standard metallic telescopic dilators (Alken), and the second had RD using the 30-F Amplatz dilator over the central Alken dilator. The operative duration, with X-ray exposure, was calculated. The procedure outcome in terms of complications, stone-free rates and hospital stay was evaluated statistically. Results : The tract was dilated correctly in all cases. The operative duration and X-ray exposure was shorter in patients undergoing single-step RD (P < 0.05). There were perioperative complications, according to the Clavien grading system, in 15 (25%) patients but there was no statistically significant difference between the groups. The stone-free rates were comparable in both groups. Conclusion : A single-step RD during PCNL is feasible, with a shorter operative duration and X-ray exposure. The outcomes were comparable with those of a standard metallic telescopic RD Bangladesh Journal of Urology, Vol. 20, No. 2, July 2017 p.70-73

Percutaneous Nephrolithotomy with Ultrasonography-Guided Renal Access in the Lateral Decubitus Flank Position

2009 ◽  
Vol 23 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Hossein Karami ◽  
Amir Haji Mohammad Mehdi Arbab ◽  
Alireza Rezaei ◽  
Mojtaba Mohammadhoseini ◽  
Iraj Rezaei
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Lateral Decubitus

scholarly journals Antegrade anterior column screw placement in the lateral decubitus position utilizing an axial view: a technical trick

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 43
Author(s):  
Rahul Vaidya ◽  
Ishan Patel ◽  
Katelyn Simmons ◽  
Kerellos Nasr ◽  
Austen Washington
Keyword(s):  
Hong Kong ◽  
Supine Position ◽  
Acetabular Fracture ◽  
Lateral Decubitus Position ◽  
Anterior Column ◽  
Screw Placement ◽  
Novel Technique ◽  
Lateral Decubitus ◽  
Axial View ◽  
Technical Trick

The placement of anterior column screws is a useful procedure and has standard views when placing this screw in the supine position. Feng et al. described an acetabular anterior column axial view for patients in the supine position for a placement of a retrograde anterior column screw [J Orthop Surg (Hong Kong) 25, 2309499016685012]. However, many acetabular fracture surgeries are performed in the lateral decubitus position due to a variety of reasons. Placing an antegrade anterior column screw in this position is difficult due to an unfamiliarity of the optimal fluoroscopic images. The purpose of this article is to describe a novel technique to obtain appropriate imaging to safely place an anterior column screw while the patient is in the lateral decubitus position.

Radial nerve palsy following uncomplicated percutaneous nephrolithotomy

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2814-2818
Author(s):  
Manpreet kaur bhamra ◽  
Jasraj kaur bhamra ◽  
Waqar M. Naqvi
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Radial Nerve ◽  
Nerve Palsy ◽  
The Body ◽  
Lateral Decubitus Position ◽  
Radial Nerve Palsy ◽  
Posterior Aspect ◽  
Post Operative Period ◽  
Lateral Decubitus ◽  
Radial Nerve Injury

Injury to nerve is a well known complication of shoulder subluxation. Radial nerve injury is most commonly seen during percutaneous nephrolithotomy in lateral decubitus region. If the posterior aspect of the humerus is positioned incorrectly leads to radial nerve compression. Lateral decubitus position in percutaneous nephrolithotomy is the main position for posterior and lateral approaches. After percutaneous nephrolithotomy in lateral decubitus position reported the case of radial nerve palsy. A man of 26 year old from left (contralateral) percutaneous nephrolithotomy with signs of right radial nerve palsy on postoperative day number one. The body mass index is 28 & underwent laterally attempted percutaneous nephrolithotomy on the left and he was located about 6 h and 30 min in the lateral decubitus position. Orthopedics, physiotherapy and electromyography were done to treat radial nerve palsy in the post-operative period. It demonstrates complication of the radial nerve palsy which may be related with percutaneous nephrolithotomy. Being aware of the complication can be used to stop pressure points at percutaneous nephrolithotomy in the lateral decubitus position.

scholarly journals Current trends in percutaneous nephrolithotomy: an internet-based survey

2017 ◽  
Vol 9 (9-10) ◽  
pp. 219-226 ◽  
Author(s):  
Abd Alrahman Ahmad ◽  
Omar Alhunaidi ◽  
Mohamed Aziz ◽  
Mohamed Omar ◽  
Ahmed M. Al-Kandari ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Clinical Case ◽  
Internet Survey ◽  
Current Trends ◽  
Choice Of Treatment ◽  
Technical Details ◽  
Lateral Decubitus ◽  
Balloon Dilator ◽  
Clinical Case Scenarios ◽  
Tubeless Pcnl

Background: The aim of this study was to report current practices of percutaneous nephrolithotomy (PCNL) among endourologists. Methods: An internet survey was administered to Endourological Society members. Responders were distributed into three groups according to the number of PCNL cases per year (<50, 50–100, >100). PCNL technical details as well as opinions regarding specific clinical case scenarios were evaluated and compared between groups. Results: We received 300 responses from 47 different countries. Prone position was used in 77% of cases, while 16% used supine position and only 7% used modified lateral decubitus. Most endourologists performed their own access. There were no significant differences between the three groups regarding patient position ( p = 0.1), puncture acquisition by urologist or radiologist ( p = 0.2) and fluoroscopic puncture technique ( p = 0.2). Endourologists with high annual PCNL practice (>100) had least probability to utilize nephrostomy tube ( p = 0.0005) or use balloon dilator ( p = 0.0001). They also had the highest probability of performing mini-PERC ( p = 0.0001). Conclusions: The majority of endourologists performing PCNL obtain their own access. Prone positioning is predominant, while totally tubeless PCNL are uncommon. Mini-PERC is gaining more popularity among endourologists. Most endourologists follow the guidelines for their choice of treatment modality in different sizes and locations of upper tract calculi.

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