Percutaneous nephrolithotomy (PCNL) is a common urological procedure for the treatment of renal pelvis and upper ureteric stones. It is associated with a number of different complications which can be broadly divided into access and nephrolithotomy related complications. Whilst reported, splenic injury is an unusual and rare complication. We describe the management of a trans-splenic access ass...

Contrast-induced acute kidney injury (CI-AKI) is an intrinsic caused by contrast injection in susceptible individuals. Although the pathophysiological mechanisms which agents induce have not been completely explained, direct and indirect effects, as well hemodynamic perturbations, suggested. Renal effects develop immediately after injection, and, theoretically, they could be detected early usin...

OBJECTIVE This study was conducted to compare radiologic changes and clinical outcomes in adjacent level of percutaneous pedicle screws with those of conventional (open) pedicle screws. METHODS From January 2007 to December 2009, 51 patients underwent L3-5 decompression and spinal fusion. Percutaneous pedicle screws were used in 22 patients, and open pedicle screws were used in the remaining ...

OBJECTIVE We wanted to present the results of percutaneous management of ureteral injuries that were diagnosed late after cesarean sections (CS). MATERIALS AND METHODS Twenty-two cases with 24 ureteral injuries that were diagnosed late after CS underwent percutaneous nephrostomy (PN), antegrade double J (DJ) catheter placement and balloon dilatation or a combination of these. The time for mak...

OBJECTIVE Pediatric gastric access for long-term enteral feeding may be performed via a laparotomy, laparoscopy, or a percutaneous approach. In children and adolescents, laparoscopic-assisted gastrostomy may be difficult due to a thick abdominal wall. Therefore, if the abdominal wall is estimated to be >2 cm on physical examination, or in children in whom a percutaneous endoscopic gastrostomy w...

BACKGROUND AND PURPOSE Previous animal models for spinal cord injury required laminectomy and exposure of the spinal cord to create direct trauma, compromising imaging by both surgical artifact and the nature of the production of the injury. Our purpose was to study a model that uses percutaneous intraspinal navigation with an angioplasty balloon, providing a controlled degree of spinal cord co...

PURPOSE Percutaneous release of the A1 pulley has been used for treatment of trigger fingers with success. However, lack of direct visualization raises concerns about the completeness of the release and about potential injury to the tendons or neurovascular structures. The purpose of this study was to assess the efficacy and safety of percutaneous release of the A1 pulley in a cadaveric model u...

BACKGROUND Percutaneous closure of patent ductus arteriosus (PDA) in term neonates is established, but data regarding outcomes in infants born very preterm (<32 weeks of gestation) are minimal, and no published criteria exist establishing a minimal weight of 4 kg as a suitable cutoff. We sought to analyze outcomes of percutaneous PDA occlusion in infants born very preterm and referred for PDA c...

Introduction: Standard techniques for lumbar pedicle screw and rod fi xation involve open exposure and extensive muscle dissection. Percutaneous pedicle screw system minimises the morbidity associated with traditional open approaches without compromising the quality of spinal fi xation. A preliminary experience with this device has been encouraging. The purpose of this study was to demontrate o...