SIRS following percutaneous nephrolithotomy is unpreventable by intensive therapeutic antibiotics in patients with positive urine culture: too soon to conclude

Factors Influencing the Duration of Urine Leakage following Percutaneous Nephrolithotomy

Purpose. The duration of urine leakage following the removal of the nephrostomy tube after percutaneous nephrolithotomy (PCNL) shows significant variations depending on the techniques used. We aimed to assess the factors likely to influence the duration of urine leakage. Material and Methods. In total, 103 patients who underwent PCNL were reviewed retrospectively. DUL was evaluated regarding pa...

Pseudoaneurysm following percutaneous nephrolithotomy.

Delayed hemorrhage following percutaneous nephrolithotomy (PCNL) is secondary to pseudoaneurysm or arteriovenous fistula, which happens in less than 1% of PCNLs. Predisposing factors are: medial puncture instead of posterolateral puncture, arteriosclerosis, and hypertension. Definite diagnosis is made by angiography and embolization, as a definite treatment, can be done through the same angiogr...

Higher fluids in the first three hours of sepsis resuscitation? Too soon to conclude.

Th e authors used electronic medical records (EMRs) to identify patients with severe sepsis and septic shock. “Sepsis onset time” was determined by fl uidresistant hypotension, vasopressor use, or a lactate level . 4 mmol/L. 1 Th e reliability and validity of the outcome data in EMR-based interventional studies depend on the accuracy of data collection, entry, and storage. A study conducted on ...

No heroic measures: how soon is too soon to stop?

Percutaneous nephrolithotomy in patients with solitary kidney.

INTRODUCTION The aim of this study was to evaluate percutaneous nephrolithotomy (PCNL) in the patients with solitary kidneys. MATERIALS AND METHODS Between 1995 and 2005, we had 11 patients with a solitary kidney and kidney calculi who underwent PCNL at our center. Tubeless and standard PCNLs were performed in 3 and 7 patients. In 1 patient, we could not achieve access to the system due to th...