ObjectiveTo prospectively compare the outcome of standard mini-percutaneous nephrolithotomy (SmPCNL) versus tubeless mini-percutaneous nephrolithotomy (TmPCNL) as primary treatments of renal stones.Patients and methodsIn all, 80 patients with a solitary radio-opaque renal stone and candidates for PCNL were selected. The patients were randomly divided into two groups of 40, one group treated with SmPCNL and the other with TmPCNL. Patients and stone characters, as well as operative and postoperative data of both groups were compared and statistically analysed.ResultsThere was no significant difference between the two groups for patient demographics and stone characteristics. There was no statistically significant difference between the two groups for the mean operative time, mean postoperative drop in haemoglobin, mean postoperative urine leakage, mean hospital stay, and stone-free rate. The mean (SD) postoperative dose of analgesia was statistically significantly higher in the SmPCNL group compared with the TmPCNL group, at 112.5 (48.03) versus 48.8 (43.5) mg, respectively.ConclusionBoth procedures are safe and effective for managing renal stones, without any significant difference between the two procedures; however, the postoperative analgesic requirement is significantly higher in SmPCNL.

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Thumb resistance is a basic activity of thumb. Middle nerve paralysis meddles with an enormous number of customary exercises like resistance. This investigation planned to survey the result of ligament move for reclamation of resistance in instances of low middle nerve injury in regards to hand grasp and scope of movement and useful result. Thirty patients, 19 guys and 11 females with a mean time of was 29 years, with a standard deviation of 11 years were remembered for this examination. The interim between wounds to a medical procedure was 17 months, with a standard deviation of 3 months. All patients experienced segregated low middle nerve injury with lost resistance were incorporated for and flexor digitorum superficialis (FDS) opponensplasty. Evaluation of resistance by Kapandji score and appraisal of level of agony by VAS and hand grasp by QuickDASH score. Every one of the patients will have nerve conduction and electromyogram, clinically assessment following fourteen days and evacuation of the skin stitch then at about a month expulsion of the piece and consider controlled scope of movement, and at 3, 4 months postoperatively FDS opponensplasty give better outcomes in low middle nerve paralysis. The volar slanted cut offers clear perception while isolating the FDS ligament, diminishing the frequency of flexion distortion of the ring finger.

Ligament fixes with 6-strands withstand joined dynamic and inactive finger movements. The crack rate is lower with the utilization of multi-strand fixes contrasted and those after customary 2-strand fixes. In any case, no randomized Prospective clinical examinations have explored this specific inquiry. Strategy: We talked about the clinical consequences of flexor ligaments fix utilizing six-strand stitch procedure to fix flexor ligaments in 46 fingers of 22 patient. fingers were effectively activated promptly postoperative in a defensive brace. The followup period normal 12.7 months. Result:91% of cases accomplished great to brilliant outcomes dependent on Strickland assessment framework and break rate was 4% of the cases. Determination: The utilization of a solid, hole safe stitch procedure like the six strand twofold circle method utilized in the current examination followed by the use of early postoperative controlled movement restoration brings about 91 % superb and great postoperative scope of movement.