Antibiotic Prophylaxis and Infectious Complications in PNL

Negrete-Pulido, O; Gutiérrez-Aceves, Jorge

doi:10.1007/978-2-8178-0459-0_21

Cited by 1 publication

(2 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Both these complications responded to conservative treatment. Supine PCNL leads to effective drainage of irrigating fluid which decreases the risk of postoperative infection [ 14 ]. There was no adjacent organ injury or urosepsis in our series.…”

Section: Discussionmentioning

confidence: 99%

“…An additional advantage of supine PCNL under RA is that it reduces the risk of thrombo-embolism secondary to the lack of IVC compressions [6,13], which facilitates maintaining the intrarenal pressure low as the access sheath is always either parallel to the floor or angulated downward facing the floor, which is contrary to what we do in the prone position. This helps in the spontaneous and effective drainage of the irrigating fluid with fragments and lowers the risk of infection compared to prone PCNL [14].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Feasibility of Performing Supine Percutaneous Nephrolithotomy for Solitary Renal Pelvic Stones (1.5-3 cm) Under Spinal Anaesthesia: A Single-Centre Study

Gupta¹,

Khan²,

Sunana³

et al. 2023

Cureus

View full text Add to dashboard Cite

Introduction Percutaneous nephrolithotomy (PCNL) procedure has evolved over the years and one such evolution has been the introduction of supine PCNL by Valdivia in 1987. This approach offers the added advantage of safe access in patients with compromised cardiovascular and pulmonary function. General anesthesia is the preferred anesthetic technique for PCNL. However, in the last decade, there has been an increase in the usage of regional anesthesia for this procedure. We share our experience of supine PCNL for solitary renal pelvic stones under regional anesthesia. Aim and objective To assess the feasibility, safety, and efficacy of supine PCNL for solitary renal pelvic stones sized 1.5 to 3 cm under spinal anesthesia. Material and methods This was a retrospective record review of 35 patients (21 male) who underwent supine PCNL under regional anesthesia between January 2022 till December 2022 at our institute. All patients had a solitary renal pelvic calculus sized 1.5-3 cm. Intraoperative and postoperative data were analyzed. Results The mean age of patients was 38.5 ± 15 years. The postoperative pain visual analog scale (VAS) score was <5 in 31 (89%) and >5 in 4 (11%) patients. The mean hospital stay was 3.33 ± 0.88 days. Mean fall in hemoglobin level was 0.49 ± 0.43 mg/dL. Postoperatively, mild hematuria occurred in three patients (8.5%) and fever occurred in two (5.7%) patients. There was no injury to adjacent organs in this series. Blood transfusion was required only in one patient. Complete stone clearance was achieved in all patients. Conclusion In experienced hands, supine PCNL under regional anesthesia is a feasible, safe, and effective approach with minimal morbidity.

show abstract

Section: Discussionmentioning

confidence: 99%