| "Ambulatory PCNL" (tubeless PCNL under regional anesthesia) -- a preliminary report of 10 cases. | |
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MedLine Citation:
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PMID: 16132756 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: We report the technique, safety, outcome and efficacy of "tubeless percutaneous nephrolithotomy (PCNL) performed under regional anesthesia" in selected cases. METHODS: Patients satisfying the entry criteria for the regional block (spinal low-dose anesthesia with low-dose Bupivacaine plus Fentanyl) and tubeless procedure were subjected to a tubeless spinal PCNL The patients were followed up the next day for an ultrasonography and an x-ray of the KUB region. RESULTS: All the ten patients were discharged uneventfully the next day (mean hospital stay-40 h). No blood transfusion and postoperative analgesics (mean post op visual analogue pain score was 2.4) were required. The mean time to return of S(1) sensation, motor block and walking were 183,118 and 196.6 min respectively. There was complete stone clearance in all the cases with a mean collection of 14.5 cc was seen on the post op ultrasound. CONCLUSIONS: The present cases were reported to highlight that in a select group of patients tubeless PCNL under regional block is technically feasible and viable option. Regional block has the advantage of avoidance of general anesthesia and anaphylaxis due to use of multiple drugs. Tubeless PCNL has the advantage of avoidance of nephrostomy tube related postoperative pain discomfort and urosepsis. This synergistically (spinal + tubeless PCNL) speeds up the recovery, shortens the length of hospitalization and the analgesic requirement. |
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Authors:
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Iqbal Singh; Ashok Kumar; Praveen Kumar |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International urology and nephrology Volume: 37 ISSN: 0301-1623 ISO Abbreviation: Int Urol Nephrol Publication Date: 2005 |
Date Detail:
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Created Date: 2005-08-31 Completed Date: 2006-09-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0262521 Medline TA: Int Urol Nephrol Country: Hungary |
Other Details:
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Languages: eng Pagination: 35-7 Citation Subset: IM |
Affiliation:
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Division of Urology, Department of Surgery and Anesthesiology, University College of Medical Sciences, University of Delhi, Delhi-95, India. iqbalsinghp@yahoo.co.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ambulatory Surgical Procedures* Anesthesia, Conduction Humans Kidney Calculi / surgery* Length of Stay Middle Aged Nephrostomy, Percutaneous / methods* |
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