Kidney and Ureter Calculi

Aboumarzouk, Omar; Cook, Paul; Traxer, Olivier; Osther, Palle Jørn Sloth; Villa, Luca; Cloutier, Jonathan; Jung, Helene; Andreassen, Kim Hovgaard; Somani, Bhaskar

doi:10.1002/9781118863343.ch14

Cited by 2 publications

(2 citation statements)

References 184 publications

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“…Calculi larger than 1 cm require fragmentation first. Many types of lithotripters are used during a PCNL; the ballistic lithotripsy, ultrasonic lithotripsy, the combined ballistic and ultrasonic devices are significantly better for the stone clearance, Holmium: YAG laser for small residual fragments [6] .…”

Section: Introductionmentioning

confidence: 99%

The effects of antifibrinolytic drug use in decreasing hemoglobin drop following Percutaneous Nephrolithotomy in Al-Hillah Province

Al-Najjar¹,

Shubbar²,

Hussein³

2023

Int. J. Surg. Sci.

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Introduction: Objective: To assess the effectiveness and safety of tranexamic acid in lowering postoperative haemoglobin and hematocrit decline, operational time, postoperative complications, and hospitalisation in percutaneous nephrolithotomy patients. Methods: A 40-patient Al-Hilla Teaching Hospital randomised controlled clinical trial ran from January 2020 through July 2022. All ultrasound-guided PCNL patients with renal stones were randomised into two groups. Group A consisted of 20 patients (13 males and 7 females) with a mean age of (45.05 ±12.23) years who received tranexamic acid (1gm slow intravenous infusion diluted in 100 cc normal saline over 10 minutes) on call to surgery and then (0.5 gm infusion every 8 hours for the first 24 hours postoperatively). Group B included 20 non-tranexamic acid-treated patients (9 males and 11 females) with a mean age of 42.15 ± 10.64 years. We are comparing haemoglobin and hematocrit decline, operational time, postoperative complications, and hospitalisation between two groups. Results: Group A had a much lower postoperative haemoglobin decline than group B, 12.97 ±1.21 g/dl vs 11.82 ±1.44 (p = 0.010). Group A had a much lower postoperative hematocrit decline (39.11 ±3.95%) than group B (34.86 ±3.73%) (p = 0.001). 63.25 ±10.79 minutes against 73.50 ±16.31 minutes (p = 0.024). Group A had a significantly shorter hospital stay than group B (54.00 ±10.66 hours vs. 60.60 ±11.74 hours, p = 0.021). All patients in two groups had postoperative moderate hematuria, however group B had 4 (20.0%) instances of severe hematuria, whereas group A had just one (5%) case (p = 0.047). Four (20.0%) group B patients and one (5%) group A case required blood transfusion, a statistically significant difference (p = 0.047). Conclusions: TXA reduces postoperative haemoglobin and hematocrit drops and blood transfusions in PCNL with minimal side effects and a shorter operational time and hospital stay.

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Section: Introductionmentioning

confidence: 99%

The effects of antifibrinolytic drug use in decreasing hemoglobin drop following Percutaneous Nephrolithotomy in Al-Hillah Province

Al-Najjar¹,

Shubbar²,

Hussein³

2023

Int. J. Surg. Sci.

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“…Renal stones in pediatric patients are a lot different from those of adults, in terms of a greater recurrence rate and presence of comorbidities. In children, the anatomical structure of kidneys perinephric tissue and ureter is different from adults, due to which pediatric percutaneous nephrolithotomy (PCNL) and ureteroscopy have to be carefully performed 7 . There is disagreement between the American Urological Association and the European Society for Pediatric Urology in terms of a lack of consensus regarding the best treatment for upper ureteric calculi 8 .…”

Section: Introductionmentioning

confidence: 99%

Clinical Characteristics and Patient Outcomes of Urolithiasis and Ureteral Stones in a Pediatric Population: A Prospective Analysis from a Tertiary Care Centre

Brohi¹,

Bajwa²,

Sohail³

et al. 2022

PJMHS

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Objectives: This study was aimed to highlight the clinical characteristics and patient outcome associated with urolithiasis and ureteral stones in a pediatric urological department. Methodology: A descriptive study was conducted between February 2021 and April 2022 at Gambat Medical Hospital, Khairpur, Sindh. All patients between the ages of 2 years and 17 years presented at the outpatients department and inpatients department for the management of urolithiasis were included in the study. All patients with congenital renal abnormalities were excluded from the study. Sociodemographic and clinical characteristics, treatment/management offered, outcome, and early postoperative complications were documented. All data was analyzed using SPSS version 24. Results: During the study period of one year, a total of 72 pediatric patients were diagnosed with urolithiasis. A mean age of 8.33 (5.6) years was noted with 26 (36.1%) female patients and 46 (63.8%) male patients. 20 (27.8%) patients had left renal stones. Two of these patients had right ureteral stones as well. These patients were managed with right ureterolithotomy and double J-stent placement. There were ten patients with bilateral renal stones. Two patients with a right vesicoureteric junction (VUJ) stone were treated with ureteroscopy (URS). In six (8.3%) cases, residual stones were noted. Conclusion: The majority of the pediatric population had solitary right renal stones and the most common procedure performed at our centre was pyelolithotomy followed by nephrectomy. The majority had a good postoperative outcome. Keywords: Renal Colic, Pyelolithotomy, Percutaneous Nephrolithotomy (PCNL), PUJO, J-stent placement

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Kidney and Ureter Calculi

Cited by 2 publications

References 184 publications

The effects of antifibrinolytic drug use in decreasing hemoglobin drop following Percutaneous Nephrolithotomy in Al-Hillah Province

The effects of antifibrinolytic drug use in decreasing hemoglobin drop following Percutaneous Nephrolithotomy in Al-Hillah Province

Clinical Characteristics and Patient Outcomes of Urolithiasis and Ureteral Stones in a Pediatric Population: A Prospective Analysis from a Tertiary Care Centre

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