Percutaneous Nephrolithotomy Outcomes Based on S.T.O.N.E., GUY, CROES, and S-ReSC Scoring Systems: The First Prospective Study

2020 ◽  
Vol 34 (12) ◽  
pp. 1223-1228 ◽  
Author(s):  
Ahmed M. Al Adl ◽  
Ahmed Mohey ◽  
Ashraf Abdel Aal ◽  
Hosam Abdel Fattah Abu-Elnasr ◽  
Tarek El Karamany ◽  
...  
Keyword(s):  
Prospective Study ◽  
Percutaneous Nephrolithotomy ◽  
Scoring Systems

Bacteraemia and bacteria spread into the irrigation fluid during percutaneous nephrolithotomy: A prospective study

2021 ◽  
Vol 79 ◽  
pp. S203-S205
Author(s):  
E. De Lorenzis ◽  
C. Bebi ◽  
C. Silvani ◽  
L. Boeri ◽  
F. Ripa ◽  
...  
Keyword(s):  
Prospective Study ◽  
Percutaneous Nephrolithotomy ◽  
Irrigation Fluid ◽  
A Prospective Study

scholarly journals Blood loss predictive factors and transfusion practice during percutaneous nephrolithotomy of kidney stones: a prospective study

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 1550 ◽  
Author(s):  
Firtantyo Adi Syahputra ◽  
Ponco Birowo ◽  
Nur Rasyid ◽  
Faisal Abdi Matondang ◽  
Endrika Noviandrini ◽  
...  
Keyword(s):  
Blood Loss ◽  
Prospective Study ◽  
Percutaneous Nephrolithotomy ◽  
Predictive Factors ◽  
Transfusion Practice ◽  
Influential Factor ◽  
Full Blood Count ◽  
Baseline Serum ◽  
Stone Burden ◽  
A Prospective Study

Objectives Bleeding is the most common complication of percutaneous nephrolithotomy (PCNL). Injudicious transfusion is frequently performed in current practice, even though it is not always needed. This study aimed to identify the predictive factors of blood loss in the PCNL procedure and evaluate the perioperative transfusion practice. Methods A prospective study of PCNL was randomly performed by two consultants of endo-urology at our institution. The inclusion criteria were adults with kidney pelvic stones >20 mm or stone in inferior calyx >10 mm or staghorn stone. Those with coagulopathy, under anti-coagulant treatment or open conversion were excluded. A full blood count was taken at baseline and during 12, 24, 36, 72-hours post-operatively. Factors such as stone burden, sex, body surface area, shifting of hematocrit level and amount of blood transfused were analyzed statistically using line regression to identify the predictive factors of total blood loss (TBL).   Results Eighty-five patients were enrolled in this study. Mean TBL was 560.92 ± 428.43 mL for both endo-urology surgeons. Stone burden was the most influential factor for TBL (p=0.037). Our results revealed that TBL (mL) = -153.379 + 0.229 × stone burden (mm2) + 0.203 x baseline serum hematocrit (%); thus considerably predicted the need for blood transfusion. A total of 87.1% patients did not receive perioperative transfusion, 3.5% received intra-operative transfusion, 7.1% received post-operative transfusion, 23% had both intra and post-operative transfusion, resulting in a cross-matched transfusion ratio of 7.72. Mean perioperative blood transfused was 356.00 ± 145.88 mL.

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