Predicting sepsis after percutaneous nephrolithotomy

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Risk factors for fever and sepsis after percutaneous nephrolithotomy

Objective Percutaneous nephrolithotomy (PCNL) is commonly used in the management of large renal stones. Postoperative infections are one of the most common complications of this procedure. The present study is to determine and assess the factors that may increase the risk to develop fever and urinary sepsis after PCNL. Methods A total of 60 patients (38 males and 22 females) with a mean age o...

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Residual fragments after percutaneous nephrolithotomy.

Clinically insignificant residual fragments (CIRFs) are described as asymptomatic, noninfectious and nonobstructive stone fragments (≤4 mm) remaining in the urinary system after the last session of any intervention (ESWL, URS or PCNL) for urinary stones. Their insignificance is questionable since CIRFs could eventually become significant, as their presence may result in recurrent stone growth a...

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Residual Stones after Percutaneous Nephrolithotomy

Current EAU guide recommend the PCNL as the gold standard procedure for stones larger than 2 cm and stones larger than 1 cm if in the lower calyx in patients with unfavorable factors for SWL. Residual fragments are commonly seen after both, ESWL and after intracorporeal lithotripsy. The incidence of residual stones after PCNL ranges from 10% to 60%. But some of these studies with high success r...

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A complication after percutaneous nephrolithotomy.

Double J stent was inserted through ureteroscope. On the 3rd postoperative day, the patient showed signs and symptoms of obstipation, vomiting, abdominal tenderness and rebound tenderness, and high fever. Plain abdominal x-ray at supine and upright position revealed air fluid level and no evidence of gas pattern in the pelvis (rectum) and sentinel loop in the left upper quadrant (Figure 2). Che...

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Pneumomediastinum: An unusual complication after percutaneous nephrolithotomy

Pneumomediastinum is the presence of air within the mediastinum. It is usually caused by a respiratory tract disorder, esophageal erosion, bowel perforation, or gastrointestinal tract endoscopic procedure. Pneumomediastinum following urological endoscopic surgery is very uncommon. Here, we report an unusual case of pneumomediastinum in a 55-year-old female following percutaneous nephrolithotomy...

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ژورنال

عنوان ژورنال: BJU International

سال: 2019

ISSN: 1464-4096

DOI: 10.1111/bju.14623