Flank free modified supine position: A new modification for supine percutaneous nephrolithotomy

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Flank free modified supine position: A new modification for supine percutaneous nephrolithotomy

OBJECTIVES Percutaneous nephrolithotomy (PCNL) is the standard management for large and/or complex urolithiasis, but the standard patient position for PCNL is undecided. With the patient prone PCNL has several drawbacks, while when supine, as described previously, PCNL has mechanical limitations. We describe a modification that aims to overcome these limitations and provide easy access comparab...

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The Barts 'flank-free' modified supine position for percutaneous nephrolithotomy.

BACKGROUND The last decade has seen the emergence of a variety of supine positions for carrying out percutaneous nephrolithotomy (PCNL). These positions all differ with regard to ease of puncture under image guidance, operative field availability, ability to make and dilate multiple tracts and ease of combining retrograde intrarenal surgery (RIRS). As all of these positions have their limitatio...

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Flank suspended supine position for percutaneous nephrolithotomy.

AIMS Prone and supine positions for percutaneous nephrolithotomy are widely used but have their drawbacks. We report a new positioning method called "flank suspended supine position" (FSSP) for PCNL and describe our experience with PCNL in this position to evaluate its safety and efficacy. METHODS Retrospective study of 150 cases of renal stone patients treated with PCNL in a new position cal...

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Free-flank modified supine vs. prone position in percutaneous nephrolithotomy: A prospective randomised trial

OBJECTIVE To compare the technical aspects, operative time, safety and effectiveness of percutaneous nephrolithotomy (PCNL) in the free-flank modified supine position (FFMSP) vs. the standard prone position (SPP). PATIENTS AND METHODS Seventy-seven patients (47 men and 30 women) with renal stones were enrolled and systematically randomised into two groups, A (39 patients) treated using the FF...

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[Percutaneous nephrolithotomy in supine decubitus. Valdivia's position].

OBJECTIVES The accidental puncture of the renal cavities and the performance of anterograde pyelogram by Goodwin in 1955 gave way to the beginning of modern endourology. The possibility to insert thick caliber catheters in the excretory system through the renal parenchyma had led to the current state of percutaneous surgery techniques in the treatment of urinary lithiasis. Percutaneous nephroli...

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ژورنال

عنوان ژورنال: Arab Journal of Urology

سال: 2012

ISSN: 2090-598X

DOI: 10.1016/j.aju.2011.12.008