We in Dr Ramayyas Pramila hospitals offer complete stone clearance package.Any stone burden howsoever it may be is cleared with different modalities like PCNL/RIRS or ESWL.
We are equipped with Dornier lithotriptor which is supposed to be the best. The lithotripsy is carried out under effect of sedation so the procedure is completely painless and day care in most of the cases.
We have different instruments for doing PCNL like regular PCNL equipment by both Storz and Wolf,Mini Perc and Microperc(4.3 Fr sheath by Scholly--First time in Andhra Pradesh).
RIRS is done quite regularly here -both primary and secondary RIRS under general Anesthesia.(We are equipped with DUR-8 ELITE and Olympus scopes).
With these state of the art equipement we clear all the stone burden either with single modality or combination of all the above methods.We routinely get plain CT scan KUB or USG KUB after the procedures to rule out any residual fragments.
We did PCNL today and used olympus flexible scope to extyract the stones in lower calyx as there was a lot of torque while approaching the lower calyx with rigid nephroscope.The puncture was done through the upper calyx supracostal.The stones were cleared on both endoscopy and fluoroscopy.
Thanks for sharing the information about the COMPLETE STONE CLEARANCE PACKAGE.
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