ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

THE EFFECTIVENESS OF ANATROPHIC NEPHROLITHOTOMY PROCEDURE IN THE ELIMINATION OF LARGE STAGHORN STONES OF KIDNEY

Dr. Muhammad Ahsan Shafiq, Dr. Kinza Rehman, Dr. Qasim Yab Khan

Purpose: The purpose of our study was to assess the effectiveness of anatrophic nephrolithotomy procedure in the elimination of large staghorn stones of kidney. Design of Study: Retrospective clinical series study. Place and Duration: This study was held in the Surgical Department of District Headquarters Hospital, Rawalpindi for the duration of 12 months from November, 2017 to December, 2018. Methodology: Selected 100 patients who went through anatrophic nephrolithotomy with kidney Stag horn calculus. Each patient was operated with a lumbar approach on the 12th rib's bed and assessed preoperatively. Sterile normal saline solution was used to pack the perirenal space to obtain the cold ischemia. Confirmation of calculi elimination was obtained through radiology and by visual means confirmed the clearance of stone. For 3 months, patients were followed up in the OP clinic. Results: Gender of all selected (100) patients was as male 44 and female 56 with the mean age of 41.33 years. 76.93 minutes was the average working time. 22.44 minutes was the mean cold ischemia time. Secondary bleeding was there in 07 patients, angioembolization was required in 04 patients. Carried out preoperative nephrectomy in 01 patient. Blood transfusion was required in 12 patients. Conclusion: It was concluded in our study that for complete stone clearance in large staghorn kidney stones, anatrophic nephrolithotomy is very suitable option. Key words: calculi elimination, cold is chemia, stones, nephrectomy, anatrophic nephrolithotomy

FULL TEXT