POST PERCUTANEOUS NEPHROLITHOTOMY (PCNL) RENAL ANGIOEMBOLIZATION- EXPERIENCE AT OUR CENTRE (IGIMS)
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 16
Abstract
BACKGROUND Percutaneous nephrolithotomy (PCNL) is an effective modality of management of small calculus as well as staghorn calculus and multiple calculus with minimal post-operative complication rate. Our study evaluates the management of postoperative hematuria and searches for pre-operative predictors of post PCNL bleeding. METHODS This descriptive study with patients who had PCNL done for renal calculus were retrospectively evaluated between July 2016 to June 2017. They were segregated into two groups; one group was having significant hematuria and other group was having minimal hematuria after applying inclusion and exclusion criteria. We compared different patient related factors like age & sex of patient, presence of hypertension, diabetes, renal failure, UTI, past history of renal surgeries, and side of surgery with indication of surgery for identifying patient having significant post-operative hematuria. RESULTS Out of 250 patients, only 5 patients required renal angiography and 4 patients required angioembolization for significant post-op hematuria. CONCLUSIONS Post PCNL angioembolization of the injured vessel is an effective, minimally invasive and relatively easy procedure in experienced centers, with high success rate and immediate benefits, thus saving the patient from the morbidity that results from severe renal haemorrhage after PCNL
Authors and Affiliations
Ahsan Ahmad, Gaurav Gaurav, Kumar Gaurav Mishra, Vishrut Bharti
Keywords
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- EP ID EP564433
- DOI 10.14260/jemds/2019/279
- Views 97
- Downloads 0
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