Current insights on haemorrhagic complications in percutaneous nephrolithotomy
作者机构：Department of Urology and Kidney Transplant SurgeryTribhuvan University Teaching HospitalKathmanduNepal
出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)
年 卷 期：2022年第9卷第1期
页 面：81-93页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Percutaneous nephrolithotomy Bleeding Embolisation Renal stone Puncture
摘 要：Objective:Percutaneous nephrolithotomy(PCNL)is the standard procedure for the management of large and complex renal *** loss during PCNL may occur during puncture,tract dilatation,and stone ***,despite recent advances in PCNL,haemorrhagic complication still *** study aims to enlighten on various aspects of haemorrhagic complication in PCNL,mainly focusing on risk factors and management of this dreadful ***:Literature search for the study was carried out using advanced search engines like PubMed,Cochrane,and Google Scholar,combining keyword“percutaneous lithotomywith other keywords like“bleeding,“haemorrhage,“complications,“stone scoring systems,“mini-PCNL ***,“dilatation techniques,“supine ***,“USG-guided,“endoscopic combined intra-renal surgery,“papillary ***-papillary puncture,“bilateral,and“angioembolization.The articles published between January 1995 and September 2020 were included for the ***:A total of 3670 articles published from January 1995 to September 2020 were screened for the *** not consistent,multiple studies have described various preoperative and intraoperative risk factors related to significant bleeding in *** of these risk factors help urologists to anticipate and promptly manage haemorrhagic complications associated with the procedure.A conservative approach suffices to control bleeding in most cases;nevertheless,bleeding can be life-threatening and few still need surgical intervention in the form of angiographic embolisation or open surgical ***:As hemorrhagic complication in PCNL is associated with considerable morbidity and mortality,prudent intraoperative decision and postoperative care are necessary for its timely prevention,detection,and management.
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