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Percutaneous nephrolithotomy (PCNL) is a minimally-invasive procedure to remove stones from the kidney by a small puncture wound (up to about 1 cm) through the skin. It is most suitable to remove stones of more than 2 cm in size and which are present near the pelvic region. It is usually done under general anesthesia or spinal anesthesia.
The procedure is usually performed by means of a surgical incision (therefore invasive). Lithotomy differs from lithotripsy, where the stones are crushed either by a minimally invasive probe inserted through the exit canal, or by an acoustic pulse (extracorporeal shock wave lithotripsy), which is a non-invasive procedure. Because of these less ...
By relaxing muscles and helping to keep blood vessels open, alpha blockers may relax the ureter muscles to allow the kidney stone fragments to pass. When compared to usual care or placebo treatment, alpha blockers may lead to faster clearing of stones, a reduced need for extra treatment and fewer unwanted effects. [113]
If you come into the hospital concerned about a kidney stone, your doctor might make you drink a lot of water to get the kidney stone to pass instead of doing surgery.
Kidney stone is also an associated risk of the intestinal bypass surgery. This is mainly due to enteric hyperoxaluria. Increased absorption of oxalate in colons rises the risk of the formation of kidney stones. [5] Arthritis may appear after the surgery in morbid obesity patients due to excessive immune responses to the gut bacteria. [1]
Lithotripsy is a procedure involving the physical destruction of hardened masses like kidney stones, [1] bezoars [2] or gallstones, which may be done non-invasively. The term is derived from the Greek words meaning "breaking (or pulverizing) stones" (litho-+ τρίψω [tripso]).
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As the colon normally expels waste, colon cleansing is generally unneeded. [12] [13] Colonic irrigation can disrupt the bowel's normal flora, and, if done frequently, can result in electrolyte depletion with dehydration. [13] Rare but severe adverse events have been rectal perforation, [14] as well as amoebic infection, from poorly sterilised ...
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