By David R Webb
ISBN-10: 3319228277
ISBN-13: 9783319228273
ISBN-10: 3319228285
ISBN-13: 9783319228280
This is the 1st textbook committed completely to percutaneous renal surgical procedure. The textual content explains the fundamental anatomy, tools, music dilation and production, kidney entry and surgery of all advanced stone situations. The e-book is written in basic sections and is commonly illustrated with greater than 250 illustrations. All diagrams were drawn through the writer and reproduced by means of a qualified image artist. The booklet describes the elemental suggestions, then progresses clinically via to tougher scientific and surgical eventualities. during this means, it truly is similar to a “cook publication” popular, that's simply referenced and readable. As percutaneous renal surgical procedure is a group attempt, the publication includes descriptors for ward and theatre technicians and nurses, in addition to gear lists. The publication additionally features a “do it your self” six-stage percutaneous renal surgical procedure workshop application. This workshop may be played in any division practicing PCNL. Percutaneous Renal surgical procedure: a realistic scientific instruction manual represents a realistic handbook, compatible for clinical scholars, nurses and technicians and is a distinct handbook for all urology trainees and urologists treating renal stone illness worldwide.
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Additional info for Percutaneous Renal Surgery: A Practical Clinical Handbook
Sample text
Long 8 Fr central rod (60 cm) can be cumbersome. • Difficult to insert in the presence of a rigid curved track. • It can be difficult with II imaging to accurately see the end of the advancing dilator. • Can be difficult to pass the dilators through dense scar tissue. Balloon Dilators Operative Procedure 1. 2. 3. 4. 5. 6. Renal puncture and insertion of guide wire Fascial dilator over guide wire Balloon inserted over the guide wire into the kidney Balloon inflated Large dilator over balloon (not in all makes) Amplatz sheath over last dilator or balloon Positives • Tamponades the kidney during inflation of the balloon.
While very uncommon, an enlarged liver or spleen can extend lateral to the kidney. The majority of punctures for PCNL enter the lower pole of the kidney, are infracostal, and enter the skin in the general region of the renal lumbar triangle. However, for an upper pole puncture and high kidneys, it may be necessary for the puncture to be above the twelfth or even the eleventh rib. The pleura lies below the medial aspect of the twelfth rib, and the majority of the inferior aspect of the eleventh rib.
E. blood loss, hypotension, hypothermia and “TUR syndrome”. – Awareness of possible pneumothorax with supra costal approaches. – Potential for air embolism with retrograde air injection during the renal puncture. • Nursing: – Experienced PCNL nurses: PCNL is technical and complex. Endoscopes, lithotrites, guide wires, graspers and nephrostomies are all procedure specific. The theatre nurse must have the ability to anticipate surgical requirements, and have all the equipment tested and functional before the skin puncture is made.
Percutaneous Renal Surgery: A Practical Clinical Handbook by David R Webb
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