At the end of PNL, a nephrostomy
drainage tube was placed in each patient.
A 20 Fr nephrostomy
tube along with 6 Fr ureteric stent was placed in patients coming under group B.
In our study, the relationship between SIRS/sepsis and duration of surgery, stone burden, duration of nephrostomy
, placement of DJ catheter, presence of severe obstruction, residual stone, renal pelvis urine and stone cultures results were analyzed.
In patients who had nephrostomy
catheter, the second stage of the procedure was performed directly.
A ureteral stent and, if necessary, percutaneous nephrostomy
are recently being recommended.
Chest X-ray showing complete resolution of the urinothorax after relief of obstruction using a percutaneous nephrostomy
Effect of intercostal nerve block and nephrostomy
tract infiltration with ropivacaine on postoperative pain control after tubeless percutaneous nephrolithotomy: A prospective, randomized, and case-controlled trial.
Infiltration of 0.25% bupivacaine into renal capsule along the nephrostomy
track reduces post-operative pain.3 In post-operative period, use of different analgesics, non-steroidal anti-inflammatory drug (NSAID) or opioids in the form of enteral and parenteral have side effects and it is suggested that their use should be limited.
Therefore, a temporizing nephrostomy
was inserted with view of repairing the ureter later, but given the poor prognosis of the patient at the time, the decision was made to insert a subcutaneous pyelovesical bypass device to bypass the hostile pelvis.
All patients were placed with nephrostomy
tube which was not placed in the microchannels.
We punctured the diverticulum and dilated it using a 24 Fr balloon catheter (X-Force N30 Nephrostomy
Balloon Dilation Catheter; Bard, New Providence, NJ, USA), under ultrasound guidance and ureteroscopy, with a working sheath placed at the edge of the diverticular cavity.
A percutaneous nephrostomy
was placed on the right side, and more than 5 litres of urine was drained.