Techniques in percutaneous renal stone surgery / Subodh R. Shivde, editor.

This book covers all aspects of Percutaneous Renal stone surgeries, starting with a step-by-step approach to patient evaluation and pre-operative preparation to the actual planning of surgeries. The topics covered give a general outline of stone treatment as well as the handling of different situati...

Full description

Saved in:
Bibliographic Details
Other Authors: Shivde, Subodh R. (Editor)
Format: eBook
Language:English
Published: Singapore : Springer, [2023]
Subjects:
Online Access:Click for online access
Table of Contents:
  • Intro
  • Preface
  • Contents
  • Contributors
  • 1: Anatomy for Percutaneous Renal Surgery and Access to Pelvicalyceal System
  • 1.1 Introduction
  • 1.2 Kidney Coverings and Relations of Other Organs
  • 1.3 Intrarenal Vessels [3]
  • 1.3.1 Renal Artery
  • 1.3.2 Renal Vein
  • 1.3.3 Pelvicalyceal System
  • References
  • 2: Imaging for Percutaneous Renal Surgery
  • 2.1 Introduction and Surgical Anatomy
  • 2.2 Relevant Surgical Anatomy
  • 2.3 Percutaneous Renal Access Without Image Guidance
  • 2.3.1 Indications
  • 2.4 The Technique
  • 2.4.1 Complications
  • 2.5 Conventional Imaging Using Image Intensifier (II)
  • 2.5.1 The Technique [6]
  • 2.6 The Triangulation Technique
  • 2.7 Practical Tips
  • 2.8 The Bulls Eye Technique
  • 2.9 Other Techniques
  • 2.10 Multiple Punctures and Different Access Modifications
  • 2.11 Radiation Safety and Precautions
  • 2.12 Intraoperative Ultrasonography and Obtaining the Access
  • 2.12.1 Equipment
  • 2.13 The Ultrasound Guided Access
  • 2.14 Trouble Shooting
  • 2.15 Concluding Remarks
  • 2.16 Newer Modalities
  • 2.16.1 Indications
  • 2.16.2 The Technique
  • 2.17 Preoperative Imaging for PCNL
  • 2.17.1 Plain X-Ray (KUB)
  • 2.17.2 X-Ray IVU
  • 2.18 CT Scan and 3D Reconstruction Imaging for Renal Stones
  • 2.19 Postoperative Imaging Following PCNL (Also Refer to Chapter on Residual Stones)
  • 2.19.1 Plain X-Ray KUB
  • 2.19.2 Antegrade Nephrostogram
  • 2.19.3 Ultrasound
  • 2.19.4 CT KUB
  • 2.20 Conclusion
  • References
  • 3: Preoperative Workup for Percutaneous Renal Surgery
  • 3.1 History
  • 3.2 Introduction
  • 3.3 Indications for PCNL Ref. [5]
  • 3.4 Contraindications for the PCNL Surgery
  • 3.5 History Taking
  • 3.5.1 Physical Examination
  • 3.5.2 Laboratory Tests as Pre-operative Workup
  • 3.5.3 Complete Blood Cell Count
  • 3.5.4 Urine Analysis and Urine Culture
  • 3.5.5 Imaging
  • 3.6 Guy's Stone Scoring (GSS) System Ref. [8]
  • 3.6.1 S.T.O.N.E. Morphometry
  • 3.6.2 CROES Nomogram
  • References
  • 4: Consent for PCNL
  • 4.1 Financial Consent
  • References
  • 5: Anesthetic Considerations for Percutaneous Renal Surgery
  • 5.1 Introduction
  • 5.2 Pathophysiological Considerations
  • 5.3 Management of Patients on Antiplatelet Drugs or Anticoagulants
  • 5.4 Management of Infective Complications During and After Percutaneous Renal Surgery and the Role of Anesthesia
  • 5.5 Technique of Anesthesia
  • 5.6 Preparation of the Patient for Percutaneous Renal Surgery Ref. [9]
  • 5.7 Intraoperative Considerations
  • 5.7.1 Theater and Anesthesia Preparation
  • 5.8 Postoperative Care of Percutaneous Renal Surgery Patients
  • References
  • 6: PCNL Armamentarium: Rigid and Flexible Nephroscopes
  • 6.1 Nephroscopes
  • 6.2 History
  • 6.2.1 Rigid Scope Design and Principle of Optics
  • 6.3 Methods of Sterilisation of Rigid Nephroscopes