MP51-16 IMPACT OF IRRIGATION FLUID PRESSURE ON THE RISK OF SYSTEMIC INFLAMMATORY RESPONSE SYNDROME AFTER CONVENTIONAL PERCUTANEOUS NEPHROLITHOTOMY: A RANDOMIZED CLINICAL TRIAL

Abstract

You have accessJournal of UrologyStone Disease: Surgical Therapy V1 Apr 2016MP51-16 IMPACT OF IRRIGATION FLUID PRESSURE ON THE RISK OF SYSTEMIC INFLAMMATORY RESPONSE SYNDROME AFTER CONVENTIONAL PERCUTANEOUS NEPHROLITHOTOMY: A RANDOMIZED CLINICAL TRIAL Mohamed Omar, Mark Noble, Sri Sivalingam, Alla El Mahdy, Ahmed Gamal, and Manoj Monga Mohamed OmarMohamed Omar More articles by this author , Mark NobleMark Noble More articles by this author , Sri SivalingamSri Sivalingam More articles by this author , Alla El MahdyAlla El Mahdy More articles by this author , Ahmed GamalAhmed Gamal More articles by this author , and Manoj MongaManoj Monga More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.471AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To evaluate the impact of irrigation fluid pressure on intra-operative variables and postoperative outcomes during conventional PCNL METHODS Between Jan 2014 to March 2015, 90 patients with renal calculi scheduled for conventional PCNL (30Fr. Sheath) were randomized to high pressure irrigation (200mmHg, n=46) or low pressure irrigation (80mmHg, n=44). Patient’s demographics, perioperative outcomes, and systemic inflammatory response (SIRS) incidence rates were compared utilizing Chi-square and Wilcoxon signed-rank test. RESULTS The mean patient’s age, sex, BMI, and other preoperative outcomes were similar in both arms. High pressure irrigation was associated with a higher SIRS incidence (46%) compared to low pressure irrigation (11%, p=0.0002). Hospital stay was statistically insignificant (p=0.7) as well as ICU admission (p=0.9) in both CONCLUSIONS High pressure irrigation fluid has a potential role in the incidence of postoperative SIRS following PCNL © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e686-e687 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Mohamed Omar More articles by this author Mark Noble More articles by this author Sri Sivalingam More articles by this author Alla El Mahdy More articles by this author Ahmed Gamal More articles by this author Manoj Monga More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...