Percutaneous nephrolithotomy; alarming variables for postoperative bleeding

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Percutaneous nephrolithotomy; alarming variables for postoperative bleeding

OBJECTIVES To evaluate factors contributing to bleeding after percutaneous nephrolithotomy (PCNL) and ways of managing this complication, as bleeding is a serious sequela that requires prompt management. PATIENTS AND METHODS The demographic and procedural data of 200 patients, who underwent unilateral PCNL during a 20-month period, were prospectively collected. Preoperative, operative, and po...

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Improved nephrostomy tube can reduce percutaneous nephrolithotomy postoperative bleeding.

Renal hemorrhage is one of the most common and worrisome complications of post-percutaneous nephrolithotomy (PCNL). This study aimed at evaluating the safety, effectiveness of utilization of the absorbable hemostatic gauze cover renal tract for hemorrhage of post-PCNL. The prospective study including 188 patients with upper urinary tract calculi was carried out in the department of Urology at L...

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Predictive Factors for Bleeding During Percutaneous Nephrolithotomy

PURPOSE Although percutaneous nephrolithotomy (PCNL) has been accepted as a standard method for the management of large renal stones, the incidence of renal hemorrhage is relatively high. This study investigated the variables that affect bleeding during PCNL. MATERIALS AND METHODS The medical records of 370 patients who underwent PCNL by a single surgeon from January 2005 to December 2010 wer...

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Emergent Intervention Criterias for Controlling Sever Bleeding after Percutaneous Nephrolithotomy

Objectives. To determine when emergent intervention for bleeding after percutaneous nephrolithotomy (PCNL) is required. Methods. We reviewed analysis data of 850 patients who had undergone PCNL in our center. Blood transfusion was needed for 60 (7%) patients during and/or after surgery. We routinely performed followup of the urine output per hour, blood pressure, and hemoglobin levels after PCN...

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Hemostatic sandwich to control percutaneous nephrolithotomy tract bleeding.

BACKGROUND AND PURPOSE Significant bleeding necessitating use of a tamponade balloon, embolization, or renal exploration is a rare but catastrophic complication after percutaneous nephrolithotomy (PCNL). The purpose of this study is to review the success of a novel, minimally invasive technique for controlling percutaneous tract bleeding that is refractory to conventional measures. MATERIALS ...

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ژورنال

عنوان ژورنال: Arab Journal of Urology

سال: 2017

ISSN: 2090-598X

DOI: 10.1016/j.aju.2016.12.001