Abstract
Percutaneous renal stone surgery: redefining the better technique and lessons learnt in a developing country
Highlights
The increasing global prevalence in nephrolithiasis continues to burden the health care delivery system of industrialized nations and takes a disproportionately high humanitarian toll on populations of the developing world
In the past open renal stone surgery has been the method of choice, namely pyelolithotomy, nephrolithotomy, which required large flank incisions
There-fore performing repeated open renal surgery is difficult in the presence of peri-renal scar tissue which can result in complications such as haemorrhage, chronic scar pain, anterolateral abdominal wall weakness resulting in incisional hernia
Summary
The increasing global prevalence in nephrolithiasis continues to burden the health care delivery system of industrialized nations and takes a disproportionately high humanitarian toll on populations of the developing world. In the past open renal stone surgery has been the method of choice, namely pyelolithotomy, nephrolithotomy, which required large flank incisions. Such extensive surgery resulted in considerable pain requiring high analgesic dosing, delayed ambulation, prolonged hospital stay and eventually delayed return to normalcy. Due to above mentioned draw backs, PCNL is widely used and has almost completely replaced open surgery for removal of large renal stones worldwide. It is performed through a skin incision 1 cm or less has revolutionized renal stone management. Since PCNL has become the preferred method of treating large and complex renal stones
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