2015
DOI: 10.1089/end.2014.0409
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Systemic Inflammatory Response Syndrome After Flexible Ureteroscopic Lithotripsy: A Study of Risk Factors

Abstract: We recommend that the length of lithotripsy be well controlled in patients with large stone burden and struvite calculi. Staging procedures are also required. Additionally, irrigating with a low flow rate and low pressure and using a large-caliber UAS for better drainage are required to keep a low renal pelvic pressure during FUL procedures.

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Cited by 132 publications
(70 citation statements)
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“…Our finding that there is no correlation between the spreading of bacteria into the irrigation fluid and the development of symptomatic infectious complications after procedure extends our comprehension of the pathogenesis of infectious complications after RIRS. Tokas et al [21] highlighted the role of irrigation volume and irrigation flow rate as independent risk factors for SIRS after RIRS [22]. Moreover, increasing the irrigation volume is correlated with an increase in intrarenal pressures and a subsequent increased risk of infectious complications.…”
Section: Results Compared With Previous Studiesmentioning
confidence: 99%
“…Our finding that there is no correlation between the spreading of bacteria into the irrigation fluid and the development of symptomatic infectious complications after procedure extends our comprehension of the pathogenesis of infectious complications after RIRS. Tokas et al [21] highlighted the role of irrigation volume and irrigation flow rate as independent risk factors for SIRS after RIRS [22]. Moreover, increasing the irrigation volume is correlated with an increase in intrarenal pressures and a subsequent increased risk of infectious complications.…”
Section: Results Compared With Previous Studiesmentioning
confidence: 99%
“…Second, how to reduce the incidence of postoperative infectious. Zhong [25] found that the length of lithotripsy be well controlled in patients with large stone burden and struvite calculi. Additionally, how to set holmium laser lithotripsy energy size during surgery.…”
Section: Discussionmentioning
confidence: 99%
“…Sepsis is a systemic inflammatory response syndrome caused by infection, which often occurs after severe trauma, burn and major surgery, leading to multiple organ dysfunction syndrome and even death due to uncontrollable inflammation 1 . The incidence rate of sepsis is high, and the treatment outcomes are unsatisfactory 2 . Over 18 million patients with severe sepsis worldwide each year usually die from related complications.…”
Section: Introductionmentioning
confidence: 99%