THE POSITION WE PREFER IS SIMPLE PRONE WITHOUT ANY KIDNEY BRIDGE |
The desired calyx is marked with tip of the puncture needle and the axis of the puncture is decided.
Then the needle is progressed along the axis of the needle.We use only 0 degree view of the C-Arm and puncture the desired calyx.
We usually put the guide wire in the ureter by manipulating the needle and then use the screw dilator for dilatation.Once the screw dilator is the system ; then we put the guide rod and over that we do single step dilatation with 24 Fr Amplatz dilator followed by 24 Fr Amplatz sheath and use mini nephroscope 15 Fr ( we use either pneumatic or Holmium LASER for stone fragmentation )
Thanks for sharing the information about the HOW WE DO PCNL: A STEP BY STEP DEMONSTRATION.
ReplyDeleteErectyle dysfunction treatment,Male Sexual Problem Treatment,Male Sexual Disorder Treatment