Urology
Department of Urology, Tepecik Education and Research Hospital, Izmir, Turkey.
Published: January 2017
Objective: To examine the outcomes of the patients who underwent percutaneous nephrolithotomy with single-step dilatation technique in our clinic.
Materials And Methods: A total of 932 patients who underwent percutaneous nephrolithotomy by using single-step dilation technique in the period between 2008 and 2015 in our clinic were included in the study. Data of the patients were analyzed, such as age, sex, stone burden, operative time, fluoroscopy time, operation success, and perioperative and postoperative complications.
Results: An analysis of the data of 932 patients revealed similar operation success and complication rates as in the literature. Mean age of the patients included in the study was 48.9 years. Mean operative time was 66.6 minutes and mean fluoroscopy time was 139 seconds. Postoperative residual stone was detected in 17.1% of the patients. Postoperative fever was observed in 29 patients (3.1%), and sepsis developed in 11 (1.1%) of them. Additional postoperative procedures were required in 29 patients (3.1%). No patient was lost due to complications. Our data were compatible with the literature.
Conclusion: Single-step dilation technique can be used as an effective and safe alternative dilation method in adult patients.
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http://dx.doi.org/10.1016/j.urology.2016.09.014 | DOI Listing |
J Cardiothorac Surg
January 2024
Department of Cardiovascular Surgery, Toyohashi Heart Center, 21-1 Gobudori, Oyama-Cho, Toyohashi, 441-8530, Japan.
Background: Acute type A aortic dissection is treated with an emergency procedure that uses ascending aortic replacement (AAR). However, to avoid a residual dissected aorta with a false lumen, total arch replacement (TAR) is required. The frozen elephant trunk (FET) technique is a promising surgical approach that promotes false lumen obliteration in a single step.
View Article and Find Full Text PDFCase Rep Crit Care
November 2023
Department of Anaesthesiology, American University of Beirut Medical Center, Riad El-Solh, 1107 2020 Beirut, Lebanon.
A percutaneous tracheostomy is a common surgical procedure done in intensive care. Several different techniques have been described. Recently, the addition of bronchoscopy or ultrasound has been advocated to decrease the risks and complications associated with the procedure; however, both aids used alone, bronchoscopy or ultrasound, have some drawbacks and pitfalls.
View Article and Find Full Text PDFUrologia
May 2024
Department of Urology, IPGME&R and SSKM Hospital, Kolkata, West Bengal, India.
Background: Percutaneous nephrolithotomy (PCNL) is the first line treatment for treating kidney stones larger than 2 cm size with the advantages of lower morbidity and faster post-operative recovery. Creation of a nephrostomy access is one of the major steps of PCNL. It can be done either by single-step dilatation or by multi-step serial dilatation technique.
View Article and Find Full Text PDFInt Urol Nephrol
November 2022
Urology Department, Alexandria University, Alexandria, Egypt.
Introduction And Objectives: Data on the use of single step dilatation technique during pediatric percutaneous nephrolithotomy (PCNL) in the literature is sparse. In this prospective randomized study, we aimed to compare the safety, efficacy, and perioperative complications of single step versus serial tract dilatation using Alken metal telescopic dilators during pediatric PCNL.
Methods: Patients undergoing PCNL were randomized into two groups according to the dilatation technique used.
Front Cardiovasc Med
June 2022
Department of Cardiovascular Surgery, Faculty of Medicine, University Hospital Freiburg Heart Centre, University of Freiburg, Freiburg, Germany.
Background: Aim of this study was to report and to identify risk factors for distal aortic failure following aortic arch replacement via the frozen elephant trunk (FET) procedure.
Methods: One hundred eighty-six consecutive patients underwent the FET procedure for acute and chronic aortic dissection. Our cohort was divided into patients with and without distal aortic failure.
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