Publications by authors named "Vaddi Chandramohan"

Purpose: Traditionally, bilateral urolithiasis treatment involved staged interventions due to safety concerns. Recent studies have shown that same-sitting bilateral retrograde intrarenal surgery (SSB-RIRS) is effective, with acceptable complication rates. However, there's no clear data on the optimum laser for the procedure.

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Background: The aim of this study was to evaluate thulium fiber laser (TFL) safety and efficacy compared to high-power (HP) Holmium:YAG laser in pediatric patients who have undergone retrograde intrarenal surgery (RIRS) for kidney stones.

Methods: We retrospectively reviewed data from pediatric patients who underwent RIRS for kidney stones between 2018 and 2020. Complications were assessed 4-6 weeks postoperatively.

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Objective: Laser lithotripsy has been the standard of care for lower and mid-ureteric calculi. Thulium fiber laser (TFL) is a new introduction to this field, which has been extensively studied for retrograde intrarenal surgery. We have done a prospective randomized study of ureteroscopic lithotripsy between TFL and holmium: Yttrium-aluminum-garnet (HO: YAG) laser to know the efficacy of stone fragmentation, stone-free rate, and complications.

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Article Synopsis
  • The study investigates the feasibility, effectiveness (stone-free rate), and complications of retrograde intrarenal surgery (RIRS) in preschool children under 5 years old with kidney stones.
  • A total of 62 children participated, revealing a mean stone size of 11.9 mm, and the procedure was performed with minimal complications, including a 76.3% stone-free rate at two months.
  • The conclusion suggests that RIRS is a viable treatment option for young children, yielding good results but requiring skilled personnel and should be done in specialized medical centers.
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Introduction: Fracture of the penis is rare and needs a surgeon's attention for appropriate management. The exact role of diagnostic investigations has not been established. We studied the role of these investigations and the results of surgery.

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