Comparison of Post–Operative Hydrothorax in Supra 12th Rib  Versus Infra 12th   Rib Access in Prone  Mini Percutaneous Nephrolithotomy

Authors

  • Sajjad Khan Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Sohail Raziq Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Waqas Ahmed Ranjha Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Aamer Nadeem Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Mujhaid Ali Khoso Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Huma Asad Department of Urology, Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i4.10796

Keywords:

Hydrothorax, Infra 12th rib percuteous nephrolithotomy, Supra 12th rib percuteous nephrolithotomy.

Abstract

Objective: To determine the risk of post-operative hydrothorax in supra-12th rib versus infra-12th rib access in prone Mini Percutaneous Nephrolithotomy.

Study Design: Quasi-experimental study.

Place and Duration of Study: Armed Forces Institutes of Urology, Rawalpindi Pakistan from Jun to Dec 2022.

Methodology: In our study, 110 patients underwent assessment for indication of Percutaneous Nephrolithotomy, level of access, anatomy, site of puncture, incidence of hydrothorax, and requirement of closed-tube thoracostomy.

Results: Of the 110 patients who underwent prone Percutaneous Nephrolithotomy, 55(50%) patients underwent infra 12th rib tract approach (Group-1), and the rest, 55(50%) underwent supra 12th rib tract approach (Group-2) depending upon the location of stones, anatomy of pelvicalyceal system and stone burden. Overall, 10(9.09%) patients developed post- Percutaneous Nephrolithotomy Hydrothorax; out of these ten patients, 8(14.5%) patients were approached from the supra 12th rib tract and the remaining 2(3.6%) patients were approached from the infra 12th rib tract (p-value=0.047).

Conclusion: The study concludes that in prone Percutaneous Nephrolithotomy, infra-12th rib tract renal access is safer than supra-12th rib renal access regarding chest complications (Hydrothorax).

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References

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Published

30-08-2024

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Original Articles

How to Cite

1.
Sajjad Khan, Sohail Raziq, Waqas Ahmed Ranjha, Aamer Nadeem, Mujhaid Ali Khoso, Huma Asad. Comparison of Post–Operative Hydrothorax in Supra 12th Rib  Versus Infra 12th   Rib Access in Prone  Mini Percutaneous Nephrolithotomy. Pak Armed Forces Med J [Internet]. 2024 Aug. 30 [cited 2024 Oct. 13];74(4):1071-4. Available from: https://pafmj.org/PAFMJ/article/view/10796