The experience and peculiar properties of performing technology PNL
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Abstract
In the department of Kidney Stone Disease of Institute of Urology PCNL was performed for 280 patients in the last 2.5 years. Maximally effective and safe method of surgical treatment of patients with stone disease PCNL make implementation of access to the kidney by a puncture middle or lower of the cups, pre-renal catheterization of needling maximally perpendicular to the kidney surface, the choice of avascular zone with the help of Doppler, execution-only access under ultrasound control, X-ray control on the testimony, to the lack of radiation exposure of personnel, the imposition of percutaneous nephrostomy and delayed PCNL in the case of acute pyelonephritis or block stones, stenting of the kidney with a violation of LMS and ureteral patency.
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