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Optical Internal PCNL (Percutaneous Nephrolithotomy)

Overview

Optical Internal PCNL (Percutaneous Nephrolithotomy) is a minimally invasive surgical procedure used to remove large kidney stones. Here’s a detailed overview covering various aspects of the procedure:

Optical Internal PCNL utilizes advanced optical technologies to visualize and remove kidney stones through a small incision in the skin. It combines traditional percutaneous nephrolithotomy techniques with innovative imaging systems to improve stone detection and extraction.

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Kumar Saurav
Dr. Kumar Saurav
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Raj Kumar Choudhuri
Dr. Raj Kumar Choudhuri
Senior Consultant
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How is Optical Internal PCNL (Percutaneous Nephrolithotomy) Done?

Preoperative Assessment:
  • Comprehensive medical history and physical examination.
  • Imaging studies such as CT scans or ultrasounds to assess stone size, location, and kidney anatomy.
  • Laboratory Tests: Blood tests (CBC, coagulation profile) and urine tests to rule out infections or other complications.
  • Medication Review: Review and adjust anticoagulants or medications that could affect bleeding or anesthesia.
  • Patient Instructions: Instructions on fasting and medication management prior to surgery.
  • Consent: Obtain informed consent from the patient after discussing risks, benefits, and alternatives.

Anesthesia:
  • Typically performed under general anesthesia.
  • Access: A small incision (approximately 1-2 cm) is made in the flank area to gain access to the kidney.
  • Optical System: Use of an optical system to visualize the renal pelvis and ureter. This includes fiber optic technology or advanced imaging modalities like digital scopes.
  • Stone Fragmentation: Various techniques (ultrasonic, laser, or pneumatic) may be used to fragment larger stones into smaller pieces for easier removal.
  • Stone Extraction: The fragments are retrieved using specialized instruments, such as graspers or retrieval baskets.
  • Nephrostomy Tube Placement: A nephrostomy tube may be placed for drainage if necessary.

  • Bleeding: Potential for hemorrhage during or after the procedure.
  • Infection: Risk of urinary tract infections or postoperative infections.
  • Organ Injury: Possible injury to surrounding organs or structures.
  • Stone Recurrence: Possibility of new stones forming in the future.
  • Postoperative Pain: Some patients may experience discomfort at the incision site.
What are the Benefits of Optical Internal PCNL (Percutaneous Nephrolithotomy)?
  • Minimally Invasive: Reduced recovery time and less postoperative pain compared to traditional open surgery.
  • Improved Visualization: Optical systems enhance the ability to locate and treat stones accurately.
  • Shorter Hospital Stay: Many patients can be discharged within a day or two post-procedure.
  • Lower Complication Rates: Minimally invasive techniques generally result in fewer complications.
Specialty

Optical Internal PCNL is a specialized procedure performed by urologists with expertise in minimally invasive surgical techniques and advanced imaging technologies.

Infrastructure Facilities

  • Surgical Suite: Equipped with advanced imaging systems and surgical instruments.
  • Anesthesia Equipment: State-of-the-art monitoring and anesthesia administration systems.
  • Recovery Area: Post-anesthesia care unit (PACU) with monitoring facilities for patient recovery.
  • Sterile Environment: Strict infection control measures to ensure a sterile surgical field.
  • Support Staff: Skilled surgical team, including urologists, anesthesiologists, and nursing staff.

FAQs

Candidates include patients with large kidney stones, stones resistant to other treatments, or those who have undergone unsuccessful stone removal surgeries.

Most patients can return to normal activities within a week, though full recovery may take a few weeks.

Patients are generally advised to drink plenty of fluids and follow a diet low in oxalates if they have calcium oxalate stones.

It has a high success rate for stone removal, often exceeding 90% for appropriate candidates.

Some discomfort is expected, but it is usually manageable with prescribed medications.

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Copyright 2025 TRSCH - All Rights Reserve

Website Design and Development by Sterco Digitex

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