A 45 year old lady came with left flank dull in nature since 6 months.She underwent a battery of tests including ultrasound KUB region and IVP which revealed a complete staghorn calculus on left side.Her other hematological and biochemical work up was essentially normal.She was taken up for PCNL.The patient and the attendants were explained about multiple settings and ESWL adjuvant therapy if need arises.
Today,PCNL was carried out with postero-inferior calyceal approach and around 70% bulk of the stone was cleared.The nephrostomy tube was left in the pelvis.The plan is to second session of PCNL after 48 hours with the same tract and using the flexible nephroscope for access to all calyces.
Wednesday, July 6, 2011
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