OBJETIVE: Percutaneous Nephrolithotomy (PCNL) is a technique with good results for the treatment of kidney stones, however, bleeding complications derived can be serious if not diagnosed and treated effectively.
The aim of this study is to assess bleeding complications resulting from PCNL in Galdakao position and therapeutic management.
MATERIAL AND METHODS: Retrospective-longitudinal study of 172 PCNL performed in La Ribera Hospital between January 2005 and December 2011, analyzing their bleeding complications and the treatment provided for resolution.
RESULTS: Had bleeding complications 20 patients (11.6%). The need for transfusion in this series was 8.1% and the most common cause of blood transfusion the presence of postoperative retroperitoneal (7.5%). There were 6 arterial injuries (3.5%), 5 of them successfully treated with angiography and arterial selective embolization.
CONCLUSIONS: The arterial injuries following PCNL are rare but can be serious. The possibility of an urgent arteriography and selective embolization to the diagnosis permits an effective and safe treatment of bleeding without risk to the affected renal unit.
Written by:
Nuño de la Rosa I, Palmero JL, Miralles J, Amorós A, Ferrer MD, Esteban E. Are you the author?
Unidad de Litotricia y Endourología, Servicio de Urología, Hospital Universitario La Ribera, Alzira, Valencia, España.
Reference: Actas Urol Esp. 2013 Feb 11. pii: S0210-4806(12)00395-6.
doi: 10.1016/j.acuro.2012.11.010
PubMed Abstract
PMID: 23411067
Article in English, Spanish.
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