CLINICAL EXPERIENCE OF THE TUBELESS PCNL USING STANDARD EQUIPMENTS

Dr Shashikant Bhange, Dr Dinesh Badarshahi

Abstract


INTRODUCTION: The standard PCNL comprises nephrostomy tube and Double J stent placed in kidney after the
procedure. But nowadays Tubeless PCNL is practised to reduce post-op morbidity and hospital stay. This leads to our
study on tubeless PCNL.
MATERIAL AND METHODS: This study conducted in General Surgery Dept of MIMER Medical College, pune, where 22 patients were
operated for tubeless PCNL. In the group of 3 patients, no nephrostomy tube or DJ Stent was inserted after removal of the stone fragments . In 19
patients DJ stent was kept. The duration of surgery, intra-op and post-op hematuria, complications ,analgesic requirement and hospital stay were
studied.
RESULTS: In this study, mean duration of surgery for Tubeless PCNL was observed around 60 minutes was found. The average hospital stay
was found to be 4 days . The post-op morbidity was comparatively less with this procedure. However, there were no statistical difference in blood
loss , no major complications or mortality.
CONCLUSIONS: Tubeless PCNL is a safe, economic and procedure, and it can markedly reduce the postoperative analgesic requirements and
reduce the hospital stay and costs.


Keywords


nephrostomy tube, DJ Stent, duration of surgery, analgesic requirement, complications

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References


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