Percutaneous Nephrolithotomy (PCNL) Treatment by Dr. Jindal

Laser Kidney Stone Treatment in Kota

Percutaneous nephrolithotomy is a procedure used to remove kidney stones from the body when they can't pass on their own. "Percutaneous" means through the skin. The procedure creates a passageway from the skin on the back to the kidney.

Percutaneous nephrolithotomy (PCNL) is a minimally-invasive procedure to remove stones from the kidney by a small puncture wound (up to about 1 cm) through the skin. It is most suitable to remove stones of more than 2 cm in size and which are present near the pelvic region. It is usually done under general anesthesia or spinal anesthesia.

The procedure of Percutaneous Nephrolithotomy (PCNL) Treatment

A retrograde pyelogram is done to locate the stone in the kidney. Contrast is diluted to the ratio of 1:3. If the ureteric catheter is placed in the upper pole of the kidney, it should be pulled down so that the tip is inside the renal pelvis. This helps for proper filling of the renal calyces. The contrast is injected slowly to prevent extravasation. Fluoroscopy monitoring should be continuous so that the sequence of calyces be filled can help to identify the position of the posterior calyx. Ureteric Stone Treatment in Kota

With a small 1-centimeter incision in the loin, the percutaneous nephrolithotomy (PCN) needle is passed into the pelvis of the kidney. The position of the needle is confirmed by fluoroscopy. A guide wire is passed through the needle into the pelvis. The needle is then withdrawn with the guide wire still inside the pelvis. Over the guide wire, the dilators are passed and a working sheath is introduced. A nephroscope is then passed inside and small stones are taken out. In case the stone is big it may first have to be crushed using ultrasound probes and then the stone fragments removed.

The most difficult portion of the procedure is creating the tract between the kidney and the flank skin. Most of the time this is achieved by advancing a needle from the flank skin into the kidney, known as the 'antegrade' technique. A 'retrograde' technique has recently been updated wherein a thin wire is passed from inside the kidney to outside the flank with the aid of a flexible ureteroscope. This technique may reduce radiation exposure for patient and surgeons.

Is percutaneous nephrolithotomy safe?

Although this procedure has proven to be very safe, as in any surgical procedure there are risks and potential complications. The safety and complication rates are similar when compared to open surgery.

Best laparoscopic Surgeon in Kota

Jindal Endo-Laparoscopy Hospital is one of the prominent hospitals engaged in rendering especially in proctology surgeries (PILES, FISSURE, FISTULA, PLONIDAL SINUS) daycare surgeries, general surgeries, laparoscopic surgeries, general surgeries, urology surgeries, plastic surgery, cancer surgery and all type of endoscopic work.

Dr. Dinesh Jindal’, (MS, FMAS, FAIS) is engaged in basic & advanced laparoscopic work, Endoscopic work (therapeutic as well as diagnostic), Urology work, and Gynecology work, for 22 years with the most updated and advanced technology.

Mail Id – jindallaparoscopy@gmail.com

Contact No – 9461703600

Website – www.jindallaparoscopy.com

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