The impact of post PCNL tube type on blood loss and postoperative pain

Jamil, Salman; Ather, M. Hammad

doi:10.12669/pjms.36.3.1558

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Another study by Yarimoglu et al [15] showed no significant association between the STONE score and EBL. The mean hemoglobin drop was 1.15 ±0.92 in our study, which is similar to a recent study by Jamil et al [12] comparing Foley and Nelaton™ catheter nephrostomy tubes. However, they noted no significant difference in the mean hemoglobin drop in the two groups with balloon versus non-balloon catheter nephrostomy respectively (1.08 ±0.7 and 1.14 ±0.69).…”

Section: Discussionsupporting

confidence: 92%

“…Mostly it is mild and self-limiting, however, occasionally it could be life-threatening. Ultrasound-guided access [10], miniaturization of the instruments [11], use of the balloon catheter nephrostomy tube [12], and tubeless PCNL with the use of tract sealant [13] are some of the ways described to minimize bleeding complications. Various patient and stone-related factors have also been studied to predict PCNL complications including previous interventions [14].…”

Section: Discussionmentioning

confidence: 99%

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The Correlation Between STONE Nephrolithometry Score and Hemoglobin Drop in Patients Undergoing Percutaneous Nephrolithotomy

Shoaib

Bangash

Salam

et al. 2020

Cureus

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

The Correlation Between STONE Nephrolithometry Score and Hemoglobin Drop in Patients Undergoing Percutaneous Nephrolithotomy

Shoaib

Bangash

Salam

et al. 2020

Cureus

Self Cite

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“…The key critical and difficult point of a PCNL operation is creating the channel for percutaneous nephrolithotomy. The risk of the operation and the rate of calculus clearance are strongly related to the selection and establishment of the percutaneous renal puncture route 15 , 16 . Therefore, it a critical point in PCNL surgery has become to clarifying the relationship between the structure of the renal collection system, the distribution of blood vessels and the position of the calculus, to rationally plan the preoperative puncture of the renal calyx and to optimize the operation the steps of the lithotripsy operation.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of 3D printing-assisted percutaneous nephrolithotomy in complex renal calculi

Dong

et al. 2022

Sci Rep

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This study evaluated the efficacy and safety of 3D printing technology combined with percutaneous nephrolithotomy in the treatment of complex renal calculi. Ninety patients with complex renal calculi were randomly divided into a 3D printing group (45 patients) and a control group (45 patients). In the 3D printing group, a patient-specific 1:1 3D printing model was established based on the patient's thin-layer CT scanning data. A 3D printing model was used for preoperative communication between doctors and patients. Preoperative puncture training, channel design, residual stone prediction, and percutaneous nephrolithotomy were performed under the guidance of a 3D printing model and B-ultrasound. The control group was treated with the conventional B-ultrasound-guided puncture method. Results suggest that there was a statistically significant difference between the two groups (P < 0.05). The overall score of the doctor-patient communication objects in the 3D printing group was 19.32 ± 1.57 points, and in the control group, it was 14.51 ± 2.13 points. The operation time of the 3D printing group was 103.21 ± 13.49 min, and that of the control group was 126.12 ± 25.87 min. The calculi clearance rate of the 3D printing group was 96%, while that of the control group was 80%. The incidence of postoperative complications was 6.67% in the 3D printing group and 22.22% in the control group. Compared with traditional percutaneous nephrolithotomy, 3D printing technology combined with percutaneous nephrolithotomy can significantly enhance the effectiveness of doctor–patient communication, shorten operation time, reduce operation bleeding, improve the stone clearance rate, reduce the incidence of complications and shorten the length of hospital stay. The proposed method is thus a safe and effective method to treat complex renal calculi.

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“…Jamil et al reported that use of nephrostomy tube with balloon, such as Foley catheter, after PCNL as this is associated with less hemoglobin drop as compare to nephrostomy tube without balloon. 16 We routinely used a 16F nephrostomy tube without balloon for this purpose. Some antibiotics are known to have caused hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Can antibiotic preference affect bleeding in percutaneous nephrolithotomy? Retrospective comparative study of two commonly used antibiotics

Akkoç¹,

Aydın

Uçar³

et al. 2020

Pak J Med Sci

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Objective: Bleeding is one of the most common and alarming complication of percutaneous nephrolithotomy (PCNL). In this study, we aimed to compare the effects of ciprofloxacin and cefuroxime on the bleeding in PCNL procedures. Methods: The study was a retrospective analysis of 97 patients who underwent PCNL between February 2011 and June 2017. We just included the patients who had single tract lower pole PCNL for more objective evaluation of bleeding in the study. The patients were divided into two groups as ciprofloxacin group (Group-I, n:40) and cefuroxime group (Group-II, n:56) according to the type of antibiotic used in the operation. Patient age, gender, body mass index, stone size, preoperative INR, preoperative and postoperative platelet counts and difference, operative time, need for blood transfusion, postoperative fever, hospital stay, postoperative hemoglobin and hematocrit drop were analyzed. Results: There was no statistically significant difference in patients’ gender distribution, body mass index, preoperative INR, preoperative and postoperative platelet counts, preoperative and postoperative platelet difference, duration of operation, hospital stay, postoperative fever and need for postoperative blood transfusion between two antibiotic groups (p > 0.05). Mean patient age was 42,75±16,97 in Group-I and 35,54±14,71 in Group-II (p < 0.05). The mean stone size of Group-I and Group-II were 27,23±7,05 mm and 30,59±8,20, respectively (p < 0.05). The mean postoperative hemoglobin and hematocrit drop were significantly higher in Group-I than in Group-II. The mean hemoglobin drop was 1,73±0,95 for Group-I and 1,28±0,67 for Group-II (p < 0.05). The mean hematocrit drop was 5,17±2,76 for Group-I and 3,80±1,99 for Group-II (p < 0.05). Conclusion: On the basis of the results of the initial study, the antibiotic preference in patients undergoing surgery may be one of the bleeding factors during and after PCNL. doi: https://doi.org/10.12669/pjms.36.4.1977 How to cite this:Akkoc A, Aydin C, Ucar M, Topcuoglu M. Can antibiotic preference affect bleeding in percutaneous nephrolithotomy? Retrospective comparative study of two commonly used antibiotics. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.1977 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

show abstract

The impact of post PCNL tube type on blood loss and postoperative pain

Cited by 4 publications

References 15 publications

The Correlation Between STONE Nephrolithometry Score and Hemoglobin Drop in Patients Undergoing Percutaneous Nephrolithotomy

The Correlation Between STONE Nephrolithometry Score and Hemoglobin Drop in Patients Undergoing Percutaneous Nephrolithotomy

Efficacy and safety of 3D printing-assisted percutaneous nephrolithotomy in complex renal calculi

Can antibiotic preference affect bleeding in percutaneous nephrolithotomy? Retrospective comparative study of two commonly used antibiotics

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