scholarly journals ESWL;

2017 ◽  
Vol 24 (05) ◽  
pp. 723-728
Author(s):  
Wasim Sarwar Bhatti ◽  
Aijaz Hussain Memon ◽  
Nauman Khalid
Keyword(s):  
Renal Stone ◽  
Renal Stones ◽  
Systemic Review ◽  
Ureteral Stones ◽  
Stent Insertion ◽  
Base Line ◽  
Female Ratio ◽  
Ureteric Stent ◽  
Urine Examination ◽  
Group B

Objectives: Objectives of the study are to evaluate extracorporeal shock waveslithotripsy (ESWL) with and without double-J-ureteric stent in 2-3 cm renal stone. Study Design:Comparative study. Place and Duration of Study: This study was out conducted at LithotripsyCenter, Department of Urology & Renal Transplantation, KEMU/ Mayo Hospital, Lahore, fromJune 2015to May 2016.”Methodology: This study consisted of 60 patients admitted. Allpatients were divided into two equal groups. Thirty patients of kidney stones were included ingroup A, who were treated by ESWL without double-j-ureteric stent. Group B, who were treatedby ESWL with prior double-j-ureteric stent insertion. Detailed History was taken from all thepatients with special regard to the renal stone pain. Detailed Clinical examination of the patientwas done and recorded in proforma. Systemic review was also done to see any co-morbidity.All patients underwent for base line and specific investigations” like Urinalysis Pre-ESWL andat monthly intervals post ESWL, mid-stream urine examination for Gram’s staining; culture andsensitivity were performed in selected patients, renal ultrasonography, Plain X-Ray KUB andintravenous Urography. Inclusion criteria were that all patients from both sexes between theages of 15-45 years suffering from renal stones 2-3cm will be included in the study. In Exclusioncriteria; patients are unfit for general anesthesia, advance cardiac diseases, bleeding disorders,pregnant women, lower ureteral stones, malignancy and severe urinary infection. Results: 60patients, there were 40 males and 20 females, with male to female ratio of 2:1. Minimum of 15year to 45 years in both group. Mean age was 32+ 2.1years. 38(63.33%) of patients has 2.5-3 cm stone and 22(36.66%) patients has 2-2.5cm stone. Commonest location of stone was34(57%) cases were lying in calyces followed by pelvis stones which accounted for 26(43%)stones. The average number of retreatment sessions was 2 to 3 sessions, ranged 1 to 5sessions. The majority 39 (65%) patients needed one & two sessions. Three & four sessionswere used in 17 (28.33%) and in five session 04(06%) cases needed. Stone clearance observed5 to 45days in 2 to 2.5 cm stone. Means clearance were seen 35+4.6 days in without Double-J-Ureteric Stent while 29+3.8 days in with Double-J-Ureteric Stent. Conclusion: In conclusionour study revealed that The extra corporeal shock waves lithotripsy with double-j-ureteric stentis safe, effective and with less complication rate then without double-j-ureteric stent.

scholarly journals The impact of ureteral Double-J stent insertion following ureterorenoscopy in patients with ureteral stones accompanied by perirenal fat stranding

2018 ◽  
Vol 90 (1) ◽  
pp. 15
Author(s):  
Ercan Ogreden ◽  
Ural Oguz ◽  
Erhan Demirelli ◽  
Erdal Benli ◽  
Özkan Özen
Keyword(s):  
Ureteral Stone ◽  
Ureteral Stones ◽  
Stent Insertion ◽  
Female Ratio ◽  
Group I ◽  
Dj Stent ◽  
Group Ii ◽  
Fat Stranding ◽  
The Impact ◽  
Perirenal Fat

Objective: To evaluate the impact of ureteral stent insertion following semirigid ureterorenoscopy (URS) in patients with perirenal fat stranding (PFS) due to ureteral stones. Material and methods: Data of 600 patients who underwent URS were analyzed retrospectively. Seventy-two patients detected to have PFS accompanying ureteral stone were included. Patients who did not undergo double J (DJ) stent insertion following semirigid URS were classified as Group I (n: 52), while those who underwent stent insertion were classified as Group II (n: 20). Side distribution; localization of the stones, stone size, presence of fever, urinary tract infection (UTIs) and urosepsis rates were compared in the two groups. Results: The average age of the patients was 44.4 (20-71) years. Male/female ratio and side of the stone location showed similar distribution in both groups (p > 0.05). Fever occurred in 23 cases (44.2%) in Group I and in 15 cases (75%) in Group II (p = 0.038). UTIs occurred in 15 cases (28.9%) in Group I and in 12 cases (60%) in Group II (p = 0.03). Urosepsis presented in 3 (5.8%) and 5 (25%) of the patients in Group I and II, respectively (p = 0.033). Conclusions: According to our results, ureteral DJ stent insertion following URS in patients with PFS due to ureteral stone caused an increase on postoperative infection related complications.

Reno-ureteral stones treated by ESWL: First two years of experience

1997 ◽  
Vol 64 (4) ◽  
pp. 468-470 ◽  
Author(s):  
R. Sergi ◽  
F. Capocasale ◽  
C. Caccamo ◽  
A. Scopelliti
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Renal Stone ◽  
Renal Stones ◽  
Modern Medicine ◽  
Ureteral Stones ◽  
Years Of Experience ◽  
Endoscopic Procedures ◽  
Extracorporeal Shock Wave

– Extracorporeal shock-wave lithotripsy (ESWL) is one of the greatest steps forward that modern medicine has taken and has revolutionised treatment of reno-ureteral stones. The authors describe their first two years of experience in using a lithotriptor which, together with other surgical and endoscopic procedures, has enabled them to deal with all problems related to renal stone therapy. Three hundred and twenty sessions were carried out, 65% for renal stones and 35% ureteral. Stones in the kidney and upper ureter were crushed in 93.7% of cases and in the pelvic ureter in 59%. A second ESWL session was needed for 6 patients. No significant complications were encountered.

scholarly journals Experiences of Renal Stone Fragmentation with the Use of the Ultrasound-guided Mini-percutaneous Nephrolithotipsy in 650 Patients

2021 ◽  
Vol 9 (B) ◽  
pp. 36-41
Author(s):  
Trung Duong ◽  
Trinh Hoang Hoan ◽  
Hoang Nguyen ◽  
Quan Tran
Keyword(s):  
Renal Stone ◽  
Ultrasound Guidance ◽  
Renal Stones ◽  
Lateral Position ◽  
Ureteral Stones ◽  
Ultrasound Guided ◽  
Stone Fragmentation ◽  
Results Of Treatment ◽  
The Mean ◽  
Tract Infections

AIM: This study assesses the results of treatment using the mini-percutaneous nephrolithotipsy (PCNL) procedure on renal stone patients in a lateral position under ultrasound guidance, performed at the Ha Noi Hospital of Post and Telecommunications. METHODS: The study was conducted with 650 kidney stone patients who were treated using the ultrasound-guided mini-PCNL procedure in a lateral position, at the Ha Noi Hospital of Post and Telecommunications, over the period from June 2018 to June 2019. RESULTS: For the 650 patients, the mean age was 47.3 ± 7.6 (from 21 to 91 years old); the mean size of stones: 19.4 ± 1.2 mm (from 12 mm to 60 mm); the mean operative time: 49.3 minutes (from 37 to 90 min); the mean period of hospitalization: 3.9 days (from 3 to 12 days); the mean stone-free rate (SFR): 90.6%; the rate of second surgery: 1.07%; hemorrhage complication: 0.8%; urinary tract infections: 7.7%; septicemia: 0.6%; administered open surgery: 0.46%; and administered other methods: 0.76%. CONCLUSION: Renal stone fragmentation using the mini-PCNL procedure, performed on patients placed in lateral position under ultrasound guidance, is a method that is effective, beneficial, and safe for patients with renal stones and upper ureteral stones.

scholarly journals SNAKE BITE

2014 ◽  
Vol 21 (02) ◽  
pp. 290-294
Author(s):  
Ashok Kumar Lohano ◽  
Muhammad Tanveer Alam ◽  
Aftab Ali Zardari ◽  
Mumtaz Ali Shaikh
Keyword(s):  
Respiratory Failure ◽  
Case Series ◽  
Snake Bite ◽  
Systemic Review ◽  
Base Line ◽  
Medical Department ◽  
Female Ratio ◽  
Snake Bites ◽  
Case Series Study ◽  
Co Morbidity

Objective: To determine the frequency of various clinical presentations of snakebitten admitted patients. Study design: Descriptive case series study. Place and duration ofstudy: This study was carried out in General Medicine ward, at Medical department of PeoplesMedical University & Hospital Nawabshah, from September 2011 to March 2012. Methodology:This study consisted of 55 patients admitted through the outpatient department, as well as fromcasualty department of Peoples Medical University & Hospital Nawabshah. Detailed History wastaken from all the patients with special regard to type of snake, age , sex , site , time of bite, timelapsed between bite and reaching to hospital. Detailed clinical examination of local features werefang marks, swelling, bleeding from wound, pain and systemic features like nausea, vomiting,echymosis, drowsiness, discharge from wound, hematuria, ptosis, respiratory failure ofenvenomation. Systemic review was also done to see any co-morbidity. All patients underwentfor base line and specific investigations especially clotting time (CT). Inclusion criteria were thatall diagnosed patients of snake bite, aged > 12 year of either sex admitted with the history ofsnake bite with irrespective of toxicity were included. Patients with history of thorn prick, insectbite were excluded criteria. Results were prepared with help of tables and graphs. Data wasanalyzed through SPSS software. Results: Out of 55 patients included in this study, 39 were men(70.9%) and 16 patients were female (29%); with male to female ratio of 2.4:1. There was widevariation of age ranging from a minimum of >12 year to 60 year. The mean age was 39±5.8 years.In our study mostly patients 35(63.63%) reached hospital within 60 minutes followed by12(21.88%) patients within 30 minutes. 5(9%) patients reached within 90 minutes and onepatients reported more than 120 minutes. Symptoms of patients were pain at the bite side in55(100 %), ecchymosis in 18(32.72%), discharge from wound in 9(16.36%), bleeding from gum in8(4.4%) Nausea and vomiting in 7(12.72 %), hematuria in 11(20%), ptosis in 8(14.54%),drowsiness in 5(9%) and respiratory failure in 5(9%). Conclusions: We conclude that males arecommonly affected than females and the farmers and labourers are the most vulnerable sectionof the population for snake bites. In this study age, presence signs and treatment by faith healersis independent predictors of death in case of snake bite. This may provide important evidence toformulate preventive strategies especially health education.

scholarly journals Composition of Renal Stone– An experience at Armed Forces Institute of Pathology

2016 ◽  
Vol 12 (2) ◽  
pp. 21-25
Author(s):  
Lubna Naznin ◽  
Debashish Saha ◽  
Md Jahangir Chowdhury ◽  
Yasmin Akter ◽  
Most Sarmin Sultana ◽  
...  
Keyword(s):  
Calcium Oxalate ◽  
Renal Stone ◽  
Colorimetric Method ◽  
Ammonium Phosphate ◽  
Armed Forces ◽  
Renal Stones ◽  
Stone Disease ◽  
Urinary Stones ◽  
Female Ratio ◽  
Renal Stone Disease

Introduction: In Asia the stone belt has been reported to stretch across our neighbouring countries Pakistan, India, Myanmar etc signifies a higher incidence of renal stone disease in Bangladesh. Objective: To determine the pattern of chemical composition of renal stones by semi-quantitative technique in patients presented to Armed Forces Institute of Pathology (AFIP) and to evaluate the predominant constituent present in them. Materials and Methods: This descriptive study was conducted at Armed Forces Institute of Pathology (AFIP), Chemical pathology department from October 2013 to October 2014. Renal stones of 37 Urolithiasis patients were analyzed chemically, using DiaSys analysis kit, employing titrimetric method for estimation of calcium and colorimetric method for Oxalate, Ammonium, Phosphate, Magnesium, Uric Acid and Cystine. Concentration of each individual component then was expressed in percentage and used to interpret renal stone composition using the calculation scale. Results: Males were more prone to renal stone disease, having male to female ratio 5.2:1. Urinary stones occur in all age groups, in this study age ranged from 4 to 72 years with mean age 38.8±16.0 years and mostly affected was the working age group 21 to 50 years (70.2%). Mixed components (i.e. mixed stone) rather than a single component was the commonest type constituting 83.8% of all renal stones. The commonest mixed stone found was Calcium Oxalate with Apatite (41.9 %). Pure Calcium Oxalate was the 2nd most common (10.8%) variant followed by Struvite stones (5.4%). Cystine and Brushite were the least common renal stones in this study. Conclusion: Calcium Oxalate was the most predominant chemical component in renal stones (94.6%). More research is needed to assess the frequency, types, and correlation of renal stones with environmental, dietary and genetic factors in Bangladesh. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 21-25

scholarly journals Flexible ureteroscopic renal stone extraction during laparoscopic ureterolithotomy in patients with large upper ureteral stone and small renal stones

2014 ◽  
Vol 8 (9-10) ◽  
pp. 591 ◽  
Author(s):  
Myung Ki Kim ◽  
Jae Hyung You ◽  
Young Gon Kim
Keyword(s):  
Renal Stone ◽  
Ureteral Stone ◽  
Length Of Hospital Stay ◽  
Renal Stones ◽  
Treatment Modalities ◽  
Flexible Ureteroscopy ◽  
Ureteral Stones ◽  
Stone Extraction ◽  
Mean Size ◽  
The Mean

Introduction: We describe laparoscopic ureterolithotomy with renal stone extraction using a stone basket under flexible ureteroscopy. We describe its efficacy through a laparoscopic port and a ureterotomy site in patients with large upper ureteral stone and small renal stones.Methods: Between January 2009 and February 2012, we performed laparoscopic ureterolithotomy with renal stone extraction using a stone basket under flexible ureteroscopy in 11 patients who had upper ureteral and renal stones. The retroperitoneal approaches were used in all patients using 3-4 trocars.Results: All procedures were performed successfully without significant complications. Mean operative time was 78.5 minutes (range: 52-114 minutes). The mean size of ureteral stone was 19.91 mm (range: 15-25 mm). In addition, 25 renal stones (mean size 7.48 mm, range: 2-12 mm) were removed from 11 patients. The mean length of hospital stay was 3.5 days (range: 2-6 days).Conclusions: Laparoscopic ureterolithotomy with renal stone extraction using a stone basket under flexible ureteroscopy can be considered one of treatment modalities for patients with large upper ureteral stones accompanied by renal stones who are indicated in laparoscopic ureterolithotomy.

scholarly journals EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY;

2012 ◽  
Vol 19 (05) ◽  
pp. 636-641
Author(s):  
ZAKIR HUSSAIN RAJPAR ◽  
JAI PAL PARYANI ◽  
SHAFIQUE-UR- REHMAN MEMON ◽  
Aziz Abdullah ◽  
Ubedullah Shaikh
Keyword(s):  
Shock Wave ◽  
Medical Therapy ◽  
Shock Wave Lithotripsy ◽  
Conventional Treatment ◽  
Renal Stones ◽  
Female Ratio ◽  
Extracorporeal Shock Wave ◽  
Quasi Experimental ◽  
Group A ◽  
Group B

Objective: To determine the efficacy of Alpha blocker as adjunctive medical therapy , which increases the stone clearance afterextracorporeal shock wave lithotripsy (ESWL) to treat renal stones. Design: Quasi Experimental study. Setting: Department of Urology,Liaquat National Hospital, Karachi. Period: September 2010 to March 2011. Materials & Method: Ultrasound guided Dornier Alpha Impactlithotripter was used for shock wave lithotripsy. Study was carried out on 60 patients who underwent single session of ESWL for renal calculus.Patients were divided in two groups, Group A (n=30) received conventional treatment and Group B (n=30) received Alpha-1 Blocker in additionto conventional treatment. All patients were evaluated with X-ray and Ultrasound (KUB) after 2 weeks and repeated at the end of month. Failureis defined as unsuccessful expulsion after 4 weeks and patient desire to remove the stone before day 30. Result: Out of 60 patients, 45(75%)were males and 15(257%) were females with male to female ratio was 3:1. The average age of the patients was found 36.32 ± 14.8 (Rangingfrom 15 to 75) years. Complete clearance was achieved in 76.7% of those receiving Alpha-1 Blocker and in 46.7% of controls at 1 month (P =0.001). This difference was statistically significant. Conclusions: The results of my study demonstrate that Alpha-1 Blocker therapy, as anadjunctive medical therapy after ESWL is more effective than lithotripsy alone for the treatment of patients with large renal stones and is equallysafe.

scholarly journals DCP WITH INTRAMEDULLARY INTERLOCKING NAILS;

2013 ◽  
Vol 20 (06) ◽  
pp. 999-1005
Author(s):  
IMRAN KHAN ◽  
MUHAMMAD AYUB LAGHARI ◽  
SHAKEEL AHMED MEMON ◽  
Muhammad Khan Pahore
Keyword(s):  
Road Traffic ◽  
Dynamic Compression ◽  
Adhesive Capsulitis ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Shaft ◽  
University Hospital ◽  
Systemic Review ◽  
Base Line ◽  
Female Ratio

Objective: The objectives of the study are to compare the outcome of dynamic compression plates with intramedullarynails in closed diaphyseal humeral shaft fracture with type A1-2 , A2-2 and A3. Study Design: Comparative study. Place and duration ofstudy: Study was carried out at the Orthopaedics Unit-I, Liaquat University Hospital Hyderabad / Jamshoro , from March 2007 to Feb2009. Methodology: Study consisted of 40 patients of diagnosed cases of closed diaphyseal humeral shaft fracture with type A1-2 , A2-2and A3. Patients were divided in two groups. Group A for dynamic compression plates and group B for intramedullary nails. DetailedClinical examination of the patient was done and recorded in proforma. Systemic review was also done to see any major or minor headinjury. All patients underwent for base line investigation. In Inclusion criteria; patients with type A1-2 , A2-2 and A3-2 closed diaphysealhumeral shaft fracture ,bilateral fractures, associated with minor head injuries, age between 20-40 years and fracture not more than twoweeks old. In Exclusion criteria ; Open fracture, associated with severe chest or abdominal injuries, pathological fractures and malunitedfractures with neurological deficit. Follow up of all these patients was done .1st four visit after every week , then alternet week upto 3rdmonth then monthly upto 6 month to assess any complication. Results were prepared with help of tables and graphs. Data was analyzedthrough SPSS software version 16.0. Results: In both groups male were 35(87.5%) and female 5(12.5%) with male: Female Ratio of 7:1.There was wide variation of age ranging from a minimum of 20 year to 40 year in both group. The mean age was 29.78+3.5 years. Themost common cause of fracture shaft of humerus was road traffic accident (RTA). There were 23( 57.5%) patients who sustainedfractures of the humerus following road traffic accidents. Eight (20%) cases had fractures shaft of humerus after fall from height and 9 (22.5 %) cases had fractures shaft after assault. The Fracture pattern was Oblique in 22(55%) cases ,Transverse in 12( 30%) and Spiral in6(15 %) . Severity of post operative pain in both groups was recorded. Mild pain was felt in 10(50%) patients of DCP group and 6 (30%)patients of IMN group, Moderate pain was seen in 7(35%) patients of DCP group and 10 (50%) patients of IMN group, severe pain wasdescribed by 3(15%) patients in DCP group and 4 (20%) patients in IMN group. The complications seen in this study were Infection(1(5%) patients in DCP VS 0(0%) patients in IMN group), Iatrogenic palsy of radial nerve (1(5%) patients in DCP VS 0 (0%) patients in IMNgroup), Non union (1(5%) patients in DCP VS 1 (5%) patients in IMN group),Severe impingement (0(0%) patients in DCP VS 3 (15%)patients in IMN group), Adhesive capsulitis (0(0%) patients in DCP VS 2 (10%) patients in IMN group ). However minimal loss of fixation in1 (5%) cases and late fracture occurred in one case 5%. The duration of hospital stay varied from 1 to 20 days. It was longer about -10-20days in 12(60%) of DCP patients as compared to IMN cases where majority 11(55%) were discharged within 1 to 10 days. The meanhospital stay in DCP group was 15 days and IMN group was 13.5 days. Conclusions: Dynamic compression plate is a safe and effectiveprocedure for treatment of humeral shaft fractures. With low threshold of complications it has significant advantages over intramedullarynails procedure revealed with earlier mobilization, minimum hospitalization and fast recovery towards normal life.

scholarly journals Comparison of Standard Percutaneous Nephrolithotomy with Mini-Percutaneous Nephrolithotomy for Removal of Renal Stones in Adults

2021 ◽  
Vol 5 (2) ◽  
pp. 20-25
Author(s):  
Asif Alam Khan ◽  
Inam Malkani ◽  
Junaid Jameel Khattak ◽  
Hassan Mumtaz ◽  
Mubashir Mazhar ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Operative Time ◽  
Treatment Time ◽  
Renal Stones ◽  
Hemoglobin Level ◽  
Stone Clearance ◽  
Group A ◽  
The Mean ◽  
Group B

Renal stones are the third most common problem affecting about 10% of global population. The management of nephrolithiasis has undergone a complete transformation since the 1980s. Percutaneous nephrolithotomy (PCNL) has established itself an effective and safe technique that delivers high stone-free rate as well as overall shorter treatment time. We aim to compare the outcome of mini-PCNL with standard-PCNL in patients presenting with renal stones. In all, 90 patients fulfilled the selection criteria and randomized into two groups. Group A underwent mini-PCNL whereas Group B underwent standard-PCNL. Pre-operative hemoglobin level was recorded. Duration of procedure as well as drop in hemoglobin level was also recorded. A kidney, ureter, and bladder (KUB) X-ray was performed to confirm the presence of of stone and stone-free status. The mean age of patients in mini-PCNL group was 43.11 years and in standard-PCNL group, it was 36.91 years. The mean stone size in patients of mini-PCNL group was 29.53 mm and 31.58 mm in standard-PCNL group. The mean duration of renal stone in mini-PCNL group was 1.91 years and that in standard-PCNL group 1.80 years. The mean operative time in mini-PCNL group was 59.56 min and 61.22 min in standard-PCNL group. The mean fall in hemoglobin in mini-PCNL group was 0.38 g/dL and that in standard-PCNL group 0.51 g/dL. In mini-PCNL group, stone clearance was observed in 42 (93.3%) patients, while in standard-PCNL group, it was observed in 45 (100%) patients. This difference was insignificant (P > 0.05). Mini-PCNL and standard-PCNL have no significant differences in terms of outcome, operative time, and stone clearance, although fall in hemoglobin level was less in mini-PCNL group, which showed less blood loss in this group, thereby making it a more appropriate method for renal stone removal.  

scholarly journals Percutaneous nephrolithotomy with or without nephrostomy tube

2018 ◽  
Vol 11 (2) ◽  
pp. 189
Author(s):  
Mohammed Aulad Hossain ◽  
S. M. Yunus Ali ◽  
Mohammad Saiful Islam ◽  
Mohammad Jahangir Alam ◽  
Mollah Md. Abu Sayed ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Renal Stones ◽  
Stone Disease ◽  
Nephrostomy Tube ◽  
Visual Analogue Pain ◽  
Significant Difference ◽  
Group A ◽  
The Mean ◽  
Group B

<p class="Abstract">The study has been designed to compare the outcome of percutaneous nephrolithotomy with (Group A) or without nephrostomy tube (Group B) for the management of renal stone disease. JJ stents were given to all cases of both groups. Comparison of outcome between groups shows that urinary leakage time was significantly longer in Group B than that in Group A (24.0 ± 6.2 vs 7.3 ± 3.9 hours;  p&lt;0.001). Visual analogue pain score was also significantly high in Group B than in Group A (4.7 ± 0.8 vs 2.4 ± 0.5; p&lt;0.035). Patients in Group B stayed in hospital on an average 4 days, while the Group A patients stayed in hospital on an average 2.5 days (p&lt;0.029). The mean hemoglobin decrease in 24 hours in Group B and in Group A (0.5 ± 0.4 and 0.5 ± 0.4 respectively) did not show any significant difference (p&lt;0.895). In conclusion, percutaneous nephrolithotomy without nephrostomy tube can be practiced in the management of selective cases of renal stones diseases.</p>

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