A STUDY ON POST OPERATIVE COMPLICATIONS FOLLOWING PERCUTANEOUS NEPHROLITHOTOMY

Dr. Durga Prasad, Dr. G. V. Charan Kumar, Dr. Rahul Devaraj, Dr. Ram Reddy

Abstract


AIMS AND OBJECTIVES : To analyze the complications following percutaneous nephrolithotomy (PCNL) and to assess
factors responsible for these complications.
PATIENTS AND METHODS: It is a retrospective study done at Department of Urology, Nizams Institute of Medical
Sciences, Hyderabad. Patients who underwent PCNL between September 2016 and April 2018 were included in the
study.
RESULTS: Of 250 patients who underwent PCNL during study period , 51(20.4%) developed features of systemic
inflammatory response syndrome, 4 patients developed haemorrhage, 2 patients had pleural injury and 2 patients had
colonic injury in the postoperative period.
DISCUSSION and CONCLUSION: Statistical analysis showed significant association between stone size, number of
calculi, pyelocaliectasis, number of access tracts, intra operative bleeding, intra operative time and post-operative blood
transfusion for development of fever or SIRS. Diabetes mellitus, gender distribution, bladder urine culture showing
growth, pelvic urine culture showing growth and stone culture showing growth are not significant predictors for
development of SIRS.


Keywords


percutaneous nephrolithotomy, systemic inflammatory response syndrome, urine culture, stone culture, haemorrage

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References


Pearle MS, Calhoun EA, Curhan GC. Urologic diseases in America project: urolithiasis. J Urol 2005;173:848–57

Pearle MS, Lotan Y. Urinary lithiasis: etiology, epidemiology and pathogenesis In: Wein AJ, Kavoussi LR, Partin AW, Novick AC, Peters CA, (eds.). Campbell – Walsh Urology, 10th ed. Philadelphia: Saunders, 2012, pp. 1257- 86

Wolf JR JS. Percutaneous approaches to the upper urinary tract collecting system. In: Wein AJ, Kavoussi LR, Partin AW, Novick AC, Peters CA, (eds.). Campbell – Walsh Urology, 10th ed. Philadelphia: Saunders, 2012, pp. 1324- 56

Fasihuddin Q, Turi MH, Hanif S. PCNL (Percutaneous Nephrolithotomy): First Year Experience. JPMA. 2004 December; 54(12): 625-6.

Fernstorm I, Johansson B. Percutaneous Nephrolithotomy. A new extraction technique. Scand J Urol Nephrol. 1976;10(3):257-9

Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf JS Jr, et al. Chapter 1: AUA Guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol. Jun 2005;173 (6); 1991- 2000.

Sampaio FJB: surgical anatomy of the kidney. In smith AD (ed): Smiths text- books of Endourology. St.louis, Quality Medical, 1996, pp153-1848

.Raza A, Moussa S, Smith G, Tolley DA, Upper –pole puncture in percutaneous nephrolithotomy: A retrospective review of treatment safety and efficacy. BJU Int 2008;101:599-602.

Gupta et al., 1997. Gupta S, Gulati M, Shankar K, et al: Percutaneous nephrostomy with real –time sonographic guidance. Acta Radiol 1997;38: 454-457

Mariappan P, Smith G, Moussa SA, Tolley DA. One week of ciprofloxacin before percutaneous nephrolithotomy significantly reduces upper tract infection and urosepsis: a prospective controlled study. BJU Int 2006; 9

Ruslan Korets, Joseph A Graversen, Max Kates, Adam C. Mues, Mantu Gupta. Post-Percutaneous Nephrolithotomy Systemic Inflammatory Response: A Prospective Analysis of Preoperative Urine, Renal Pelvic Urine and Stone Cultures. J Urol 2011:Vol.186,1899-1903.

. 12.Liang Chen, Qing-Quan Xu, Jian-Xing Li, Liu-Lin Xiong, Xiao-Feng Wang and Xiao-bo Huang. Systemic inflammatory response syndrome after percutaneous nephrolithotomy. Int J.Urol:2008;15,1025-1028.

. Prabhjot Singh, Siddharth Yadav, Animesh Singh, Ashish K. Saini, Rajeev Kumar, Amlessh Seth, Prem N. Dogra. Systemic inflammatory response syndrome following percutaneous nephrolithotomy:Assessment of risk factors and their impact on patient outcomes.urolgia Internationalis;2016.

Karunamoorthy Ramaraju, Arun kumar Paranjothi, Dhinakar Babu Namperumalsamy, Ilamparuthi Chennakrishnan. Predictors of systemic inflammatory response syndrome folloeing percutaneous nephrolithotomy. Urol Ann 2016;8:449-53.

Mousavi-Bahar SH, Mehrabi S, Moslemi MK. Percutaneous nephrolithotomy complications in 671 consecutive patients: a singlecenter experience. Urol J 2011;8:271-6.

. Rana AM, Zaidi Z, El-Khalid S. Single-center review of fluoroscopyguided percutaneous nephrostomy performed by urologic surgeons. J Endourol 2007;21:688-9.


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