By S. Baba, Y. Ono
This 8th quantity within the sequence contemporary Advances in Endourology brings jointly the newest scientific findings relating to a number of endourological therapy modalities and cutting edge fabrics. World-recognized specialists define their ideas in actual fact and concisely to supply an up to date evaluate of cutting-edge endourological ideas. foreign administration of urological illnesses is concentrated during this most recent factor.
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Additional resources for Interventional Management of Urological Diseases (Recent Advances in Endourology)
Hwang T, Seo S, Kim J, Yoon J, Park Y, Yoon M (1999) Long-term results of percutaneous endourologic management of renal infundibular stricture. J Endourol 13: 495–498 43. Schneider AW, Conrad S, Busch R, Otto U (1991) The cold-knife technique for endourological management of stenoses in the upper urinary tract. J Urol 146: 961–965 Minimally Invasive Percutaneous Nephrolithotomy (MPCNL) According to the Chinese Method Shu Keung Li, Dominic Tai, Lysander Chau, and Berry Fung Summary. Standard percutaneous nephrolithotomy (PCNL) with a 28–30 Fr tract size is an established method for renal stone removal.
A ﬂexible instrument is seldom used as it is considered suboptimal in terms of image quality, ease of use, and stone removal efﬁciency. Pressurized pulsatile irrigation generated by a rotary pump (MMC, Guangzhou, China) was used through the ureteroscope to ensure a clear view. The pump generated pressure up to 350 mmHg for about 3 s, then stopped for 2 s, and then repeated the cycle. Stone fragment removal was by a combination of forceful retrograde saline ﬂushing through the ureteric catheter by the assistant, the ﬂushing effect of pulsatile irrigation through the endoscope, and the rapid removal of the ureteroscope from the sheath; this was further supplemented by use of 5 Fr rigid grasping forcep.
The usual angle of puncture is 45° to the sagittal plane and perpendicular to the axis of the vertebral column. The track should take the shortest route through the abdominal wall and the renal parenchyma to the stone or the destination calyx, usually the middle calyx , but the actual selected calyx is tailored to the stone location and calyceal conﬁguration. An oblique track should be avoided. The role of ﬂuoroscopy is to conﬁrm the puncture, monitor the passage of a guidewire, or to guide a puncture into a speciﬁc calyx in difﬁcult cases.
Interventional Management of Urological Diseases (Recent Advances in Endourology) by S. Baba, Y. Ono