It is possible to remove kidney stones with closed surgery
Department of Urology of Duzce University, which provided information on the closed surgical method percutaneous nephrolithotomy (PNL), which is applied for stones of certain sizes in the treatment of kidney stones. Instructor Member Dursun Baba said that after this method became widespread, open surgical treatments for kidney stones were almost never used. Dr Instructor Member Baba said: “A wider cannula is inserted into the kidney and the nephrostomy catheter remains in the kidney for a few days after surgery.
In recent years, supine (supine) PNL surgery, which is especially recommended in patients with high-risk anesthesia, has become a popular kidney stone surgery all over the world because it is inserted into the kidney with finer instruments, the risk of bleeding and anesthesia is less and there is no need to insert a nephrostomy into the kidney after surgery. We have been applying this treatment management in our hospital for a year now. With this technique; While the patient is in the supine position, the stone can be intervened by entering the kidney through the skin, and the scattered stones in the kidney can be treated by entering through the urethral route at the same time.
Noting that less anesthesia is used due to the shorter operation time, Dr. Instructor Member Dursun Baba stated that in this way it is possible to enter the airways more quickly.
Significantly reduces the risk of bleeding and hospital stays
Dr. Dr. Instructor Lid Baba said: “It reduces the risk of complications in people with morbid obesity and cardiovascular risk factors, as there is no need to change position. Again, since there is no need to move the patient, surgery time is reduced and the risk of damage to the neuromuscular system is reduced.
Since the surgeon performs the procedure while sitting, this also has advantages such as more comfortable working and less exposure to radiation. Because the provided track runs horizontally or slightly inclined downwards, a very low pressure is created in the collector system. For this reason, the stone fragments come out spontaneously and the chance of stone migration to the ureter is reduced.
Dr. Dr. Instructor Lid Baba emphasized that no nephrostomy catheter was inserted into the kidney after surgery.