scholarly journals “Vaginal Delivery”: A Novel Extraction Route for Large Renal Calculi Encountered During Laparoscopic Pyeloplasty

2018 ◽  
Vol 12 (2) ◽  
pp. 104-110
Author(s):  
Ahmed Adam ◽  
Deshin Reddy
Keyword(s):  
Systematic Review ◽  
Urinary Calculi ◽  
Renal Calculi ◽  
Stone Extraction ◽  
Laparoscopic Pyelolithotomy ◽  
Positioning Device ◽  
Posterior Colpotomy ◽  
Endoscopic Retrieval ◽  
Reproducible Method ◽  
Robotic Pyelolithotomy

Background: To describe a simple, novel stone extraction technique using the transvaginal route for large renal calculi encountered during laparoscopic/robotic pyelolithotomy. Methods: After a standard approach laparoscopic pyelolithotomy in a patient with a large (42 × 36 mm) pelvic calculus, Anderson-Hynes pyeloplasty was performed. A transverse posterior colpotomy was performed laparoscopically with the assistance of the Colpassist Vaginal Positioning Device (Boston Scientific) and the calculus was extracted, intact, through the vagina with the aid of an endoscopic retrieval bag. The vaginal incision was then closed intra-corporeally. A systematic review on the topic was also performed. Results: The stone was removed in its entirety through an occult vaginal incision. There were no complications reported and the patient was stone free at follow-ups. Conclusions: This simple, novel technique is an easily reproducible method, for the removal of large urinary calculi during either traditional laparoscopic or robotic-assisted laparoscopic stone surgery in the appropriate female patient. It avoids the need for additional abdominal incisions or complex techniques involving lithotripsy which may be more complicated and time consuming. All previously published stone extraction techniques for large calculi (greater than 20 mm) within this systematic review are also critically appraised.

Complex cystine kidney stones treated with combined robot-assisted laparoscopic pyelolithotomy and intraoperative renoscopy

2017 ◽  
Vol 85 (2) ◽  
pp. 76-78 ◽  
Author(s):  
Luca Meggiato ◽  
Francesco Cattaneo ◽  
Fabio Zattoni ◽  
Fabrizio Dal Moro ◽  
Paolo Beltrami ◽  
...  
Keyword(s):  
Kidney Stones ◽  
Renal Stones ◽  
Renal Calculi ◽  
Robot Assisted ◽  
Intraoperative Bleeding ◽  
Laparoscopic Pyelolithotomy ◽  
Urinary Infections ◽  
Hospital Referral ◽  
Combined Technique ◽  
Rare Autosomal Recessive Disease

Introduction: Cystinuria, a rare autosomal recessive disease characterized by a defect in cystine renal reabsorption, can often determine complex cystine renal calculi, leading to important complications such as urinary obstruction, urinary infections, and impaired kidney function. Complex kidney stones can have a difficult management and can be very arduous to treat. Case description: We present the case of a 20-year-old Jeowah’s witness woman with complex cystine renal stones treated with combined robot-assisted laparoscopic pyelolithotomy and intraoperative renoscopy. Conclusions: The combination of robot-assisted laparoscopic pyelolithotomy and intraoperative renoscopy can be useful to achieve an immediate high stone clearance rate also in complex renal stones. This combined technique could be indicated to minimize intraoperative bleeding. Moreover, it can also be used in pediatric cases or when there is no ureteral compliance. However, this strategy can be performed only in hospital referral centers by expert surgeons.

scholarly journals Mutravirechaniya mahakashaya as a solution towards urinary disorders – A compilation on research-based evaluation

2020 ◽  
Vol 6 (3) ◽  
pp. 194-201
Author(s):  
Darshana Deka ◽  
Keyword(s):  
Biological Activities ◽  
Fluid Collection ◽  
Medical Science ◽  
Urinary Calculi ◽  
Renal Calculi ◽  
Treatment Modalities ◽  
Renal Diseases ◽  
Individual Plant ◽  
Urinary Flow ◽  
Traditional System

Renal disorders are growing very rapidly among people all over the world nowadays and the treatment modalities available in modern medicine have undesirable side effects on human health. Plants of mutravirechaniya mahakashaya, described as, 35th mahakashaya in the 4th chapter of Charaka Samhita, Purvardha are mostly recognised for their urine inducing or urinary flow increasing capacity along with urinary system defending property in the ancient ayurvedic medical science. Formulations containing these plants as main ingredients have been regularly prescribed for the cases of abdominal fluid collection, renal problems, renal calculi, fluid collection in the lower extremities or any other cases of fluid overload in traditional system of Indian medicine. Studies approving urinary flow enhancing capacity along with the urinary calculi destroying property for the active ingredient of the individual plant, explain these plants’ utilization for renal diseases. Induction of adequate urine output is the basic concept of treatment for these disorders as majority of these conditions hamper normal filtration mechanism of the excretory system. Current article tries to specify the research works done scientifically upon the herbs having diuretic properties grouped together under the roof of mutravirechaniya mahakashaya in ayurvedic classics. It is composed of the knowledge gained from various scholarly articles, scientific papers, books and research topics gathered through the medium of documentation and internet. The presented compilation work helps towards proving its biological activities and pharmacology of its extracts which will contribute towards further exploration of this group of great clinical potential. However, further studies should be carried out to identify the mechanism of the pharmacological actions of these drugs classically mentioned in a group of diuretics.

scholarly journals Laparoscopic management of a large staghorn stone

2013 ◽  
Vol 6 (3) ◽  
pp. E121-E124
Author(s):  
Patrick Richard ◽  
Mathieu Bettez ◽  
Arold Martel ◽  
Yves Ponsot ◽  
Robert Sabbagh
Keyword(s):  
Economic Impact ◽  
Surgical Management ◽  
Renal Stone ◽  
Ureteropelvic Junction Obstruction ◽  
Urinary Calculi ◽  
Renal Stones ◽  
Significant Morbidity ◽  
Viable Option ◽  
Laparoscopic Pyelolithotomy ◽  
Staghorn Stone

Urinary calculi are prevalent and result in significant morbidity,with a marked economic impact. Various therapeutic optionsexist, from medical to surgical management according to stonesize. Laparoscopic pyelolithotomy is a viable option for significantstaghorn renal stones. We report the case of a laparoscopicpyelolithotomy performed on a 48-year-old man with a left recurrent staghorn renal stone secondary to an ureteropelvic junction obstruction following a grade IV renal trauma several years ago.

scholarly journals The Clinical Profile and Prognosis of Chinese Children with Melamine-Induced Kidney Disease: A Systematic Review and Meta-Analysis

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Pei-Xin Wang ◽  
Hong-Tian Li ◽  
Long Zhang ◽  
Jian-Meng Liu
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Treatment Initiation ◽  
Meta Analysis ◽  
Urinary Calculi ◽  
Specific Treatment ◽  
Clinical Feature ◽  
Random Effects Model ◽  
Subgroup Analyses ◽  
Contamination Event

Introduction. Studies have reported inconsistent results regarding clinical feature and the prognosis status of the affected children in China melamine-contamination event. We summarized available literatures by performing a review and meta-analysis.Methods. Statistical pooling was performed using random-effects model; the sources of heterogeneity were explored through subgroup analyses.Results. Twenty-six studies involving 2164 patients with kidney abnormalities were identified; 94.4% of the patients had urinary calculi and 95.8% of the calculi were <10 mm in diameter. Of 2040 patients with known types of treatment, 5.6% underwent surgical treatment. The pooled recovery rates at 1, 3, 6, and 12 months after diagnosis or treatment initiation were 67.1%, 76.3%, 85.4%, and 92.3%, respectively; these pooled rates did not differ between the study subgroups stratified by mean age at diagnosis, mean duration of melamine exposure, types of patients (inpatient/outpatient), and treatment types (specific/nonspecific), except that the 1-month recovery rate for studies involving a specific treatment (71.9%) was higher than that for studies involving non-specific treatment (46.2%).Conclusion. The majority of patients had small calculi and could recover without surgical treatment. Kidney abnormalities remained in about 8% of the patients at 12-month followup, indicating a need for longer-term followup.

UP-3.186: Retroperitoneal Laparoscopic Pyelolithotomy for Complicated Renal Calculi

Urology ◽  
2009 ◽  
Vol 74 (4) ◽  
pp. S352 ◽  
Author(s):  
Z. Shen ◽  
Y. Shao ◽  
W. Rui ◽  
X. Wang ◽  
Y. Teng
Keyword(s):  
Renal Calculi ◽  
Laparoscopic Pyelolithotomy

scholarly journals A randomized prospective study: assessment of transient ureteral stenting by mono-J insertion after primary URS and stone extraction (FaST 3)

Urolithiasis ◽  
2021 ◽  
Author(s):  
Alina Reicherz ◽  
Hannah Westhues ◽  
Lorine Häuser ◽  
Patricia Wenzel ◽  
Joachim Noldus ◽  
...  
Keyword(s):  
Fast Track ◽  
Urinary Calculi ◽  
Operation Time ◽  
Stone Extraction ◽  
Short Term ◽  
Stone Size ◽  
Treatment Groups ◽  
Ureteral Stenting ◽  
Operation Duration ◽  
And Gender

AbstractTo compare the outcome of a short-term insertion of a mono-J catheter for 6 h following ureteroscopic stone removal to a conventional double-J catheter. This single-center academic study (Fast Track Stent study 3) evaluated stenting in 108 patients with urinary calculi after ureterorenoscopy. Patients were prospectively randomized into two study arms before primary ureterorenoscopy: (1) mono-J insertion for 6 h after ureterorenoscopy and (2) double-J insertion for 3–5 days after ureterorenoscopy. Study endpoints were stent-related symptoms assessed by an ureteral stent symptom questionnaire (USSQ) and reintervention rates. Stone sizes and location, age, operation duration, BMI, and gender were recorded. Of 67 patients undergoing ureterorenoscopy, 36 patients were analyzed in the double-J arm and 31 patients in the mono-J arm. Mean operation time was 27.5 ± 1.3 min versus 24.0 ± 1.3 min, and stone size was 5.2 mm versus 4.5 mm for mono-J versus double-J, respectively (p = 0.06 and p = 0.15). FaST 3 was terminated early due to a high reintervention rate of 35.5% for the mono-J group and 16.7% for the double-J group (p = 0.27). One day after ureterorenoscopy, USSQ scores were similar between the study arms (Urinary Index: p = 0.09; Pain Index: p = 0.67). However, after 3–5 weeks, the Pain Index was significantly lower in those patients who had a double-J inserted after ureterorenoscopy (p = 0.04). Short-term insertion of mono-J post-ureterorenoscopy results in similar micturition symptoms and pain one day after ureterorenoscopy compared to double-J insertion. The reintervention rate was non-significant between the treatment groups most likely due to the early termination of the study (p = 0.27). Ethics approval/Trail Registration: No. 18-6435, 2018

scholarly journals Robotic Surgery for Large Renal Stones: Prospective Three Years Single-Institution Experience

2015 ◽  
Vol 22 (2) ◽  
pp. 31-37
Author(s):  
Ahmed J. Al Sayyad
Keyword(s):  
Robotic Surgery ◽  
Renal Stone ◽  
Ureteropelvic Junction Obstruction ◽  
Treatment Options ◽  
Renal Stones ◽  
Renal Calculi ◽  
Single Institution ◽  
Renal Stone Surgery ◽  
Robotic Pyelolithotomy

This prospective study evaluates the role of robotic surgery in the management of large renal stones.  Robotic renal stone surgery is safe and effective, and may be considered among the treatment options for large renal calculi in adults, especially for patients with concomitant ureteropelvic junction obstruction.  The benefits brought by robotic systems include improved 3-D visualization, greater dexterity, precision, and increased range of motion.  Thus, robotic pyelolithotomy has been recommended for the treatment of renal calculi with concurrent upper tract abnormalities.  The efficacy and safety of robotic pyelolithotomy as a treatment of large renal pelvic stones and partial staghorn stones is evident in our study, with a substantially high stone clearance rate.  We were able to complete the robotic procedures safely and successfully in all but one of our 38 patients, who was converted to open surgery due to bleeding and severe adhesions.  Overall, we found this procedure feasible, safe, efficacious, and high yielding in the management of large renal stones, especially when the procedure is accompanied by renal pelvis reconstructive surgery.  

Varied Types of Urinary Calculi in a Patient With Cystinosis Without Renal Tubular Acidosis

PEDIATRICS ◽  
1986 ◽  
Vol 78 (2) ◽  
pp. 295-297
Author(s):  
Joe Black ◽  
F. Bruder Stapleton ◽  
Shane Roy ◽  
Jewell Ward ◽  
H. Norman Noe
Keyword(s):  
Calcium Oxalate ◽  
Renal Tubular Acidosis ◽  
Case History ◽  
Urinary Calculi ◽  
Renal Calculi ◽  
Tubular Dysfunction ◽  
Calcium Oxalate Stone ◽  
Proximal Tubular ◽  
History Of ◽  
Renal Tubular

Renal calculi have rarely been cited as a major manifestation of cystinosis. We report a case history of a child with multiple urate calculi and a calcium oxalate stone resulting from proximal tubular dysfunction that was not associated with bicarbonate wastage.

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