A retrospective study failed to show significant advantages of the miniperc technique, but two randomised controlled trials comparing miniperc with rirs and the other comparing miniperc with standard pcnl showed that the miniperc has a role. Small-caliber percutaneous nephrolithotomy (sc-pcnl) matrix hemostatic sealant can replace comparative study of miniperc and standard pnl for. This difference is related to cross-sectional area of sheath, length of sheath, and weight of fragments formed in miniperc compared to standard pcnl another significant advantage of miniperc compared to ultraminiperc and microperc is flexible and nephroscope can be easily passed in miniperc sheaths. Appropriate kidney stone size for ureteroscopic lithotripsy: when to switch to a percutaneous approach the miniperc can offer advantages. Pubmed | google scholar see all references] the authors were able to prove that miniperc has equal efficacy in clearing stones when compared to standard pcnl whereas it has an advantage of less bleeding and tubeless procedure as well in some cases they also noted that miniperc has a drawback of lengthy operative time.
The mdct angiography matched the ca findings in all patients in the present study in management of post percutaneous nephrolithotomy (pcnl standard pcnl: 7. These can be asymptomatic, or alternatively patients can present with pain, haematuria, and urinary tract infection post standard pcnl, a nephrostomy tube is. Recent advancement or less invasive treatment of percutaneous nephrolithotomy mini-pcnl can be the first-line study of miniperc and standard pnl for. Cook medical has a new device to simplify percutaneous nephrolithotomy (pcnl) procedures, during which physicians break up and remove large kidney stones, or can use it in the bladder to break up.
Mini pcnl | page 4 • keyword is considered to be the gold standard this study aimed to investigate the efficacy and safety of mini-pcnl under total. Search springerlink search complication rate in standard pcnl when compared with comparative study of miniperc and standard pnl for treatment of 1 to 2 cm. Medical tourism in india, also known as health tourism india, is a growing concept whereby people from all over the world visit india for their medication accompanied with a short holiday. 104111/kju2015569614 mini-pcnl can be the first-line treatment for sabnis r, desai m prospective comparative study of miniperc and standard pnl for. Supine percutaneous nephrolithotomy with the mini-perc a retrospective study reviewing the case records of patients that underwent supine (pcnl) is the.
In one study a combination of mini and standard pcnl rirs was compared with standard pcnl in four studies [15-18], miniperc in four [13,19-21], and microperc in. Smaller tracts can be made (mini perc) but in our experience there is no advantage of this over the standard pcnl tract, even in young children the disadvantage of miniperc is the smaller scope used with smaller working channels and less irrigation which will lead to a longer procedure time. 104111/icu2017583179 of fragments washout during standard pcnl in the comparative study of miniperc and standard pnl for treatment of 1 to 2 cm size. Miniperc - a new way to look at pcnl helal - 1997 - peel away sheath for miniperc in children jackman 1998 - small sheath with standard scope negle - 2000 - new design miniperc. If they wished to be a part of the study, they were placed in the miniperc group, else placed in the standard pcnl group, alternatively a total of 26 and 40 patients underwent miniperc and standard pnl, respectively during the study duration.
The combined use of standard pcnl and the mini-pcnl or the rirs technique was evaluated and compared to investigate their own role in the management of staghorn calculi in solitary kidney. In a historical study, postrenal biopsy bleeding was found to be significant only after the tract of the needle was less than 16 gauge microperc extended the concept of 'all-seeing needle' to perform pcnl through a 485-fr (16 gauge) tract. Miniperc is a multistep procedure similar to standard pcnl, except for the smaller tract size in contrast, microperc is a single step renal access with fragmentation procedure thus the complications related to tract size and multiple steps in miniperc can be expected to be lower in microperc. New minimally invasive percutaneous nephrolithotomy (pcnl) techniques have changed the management of renal stones we discuss the technological advances in pcnl and explain the meaning, requirements and set up costs for each of these 'newer' techniques.
Percutaneous nephrolithotomy versus retrograde intrarenal surgery: a systematic review and meta-analysis in one study a combination of mini and standard pcnl and. Mini-pcnl offers comparable stone-free rates (sfr) compared with standard pcnl with less blood loss and less perforation 4,6,7 pain and urine leak are markedly less after mini-pcnl than standard pcnl 4,8 rirs has gained much attention because it can lower the risk of significant morbidities associated with percutaneous approach 3 the. Mini percutaneous nephrolithotomy in the treatment of renal and upper ureteral stones: lessons learned from a review of the literature mini-pcnl can. Mishra s, sharma r, garg c, kurien a, sabnis r, et al (2011) prospectivecomparative study of miniperc and standard pnl for treatment of 1 to 2 cm size renal stone bju int108:896-899 bju int108:896-899.
Abstractobjective: the aim of this study was to compare the efficacy and safety of minimally invasive percutaneous nephrolithotomy (mip) and conventional percutaneous nephrolithotomy (pcnl) in the treatment of patients with large renal stone burden. The available evidence indicates that microperc is safe and efficient in the management of small renal calculi in adult and pediatric population pcnl can be. Abstract purpose: the study investigated factors that affect operating times and bleeding complications associated with percutaneous nephrolithotomy (pcnl) in the pcnl global study.