الفهرس | Only 14 pages are availabe for public view |
Abstract Objective: to determine the outcome of day cases tubeless PCNL with only 12 hours hospital stay regarding vital data, postoperative bleeding and pain. Materials and Methods: We prospectively reviewed 50 patients presenting to our university hospital with renal pelvic radioopaque stones less than 2 cm underwent tubeless PCNL discharged within 12 hours postoperatively. Operation time ,Occurrence of intraoperative complications and Post operative vital data , hemoglobin level were recorded Results: All 50 patient ,16 female ,34 male patient underwent totally tubeless PCNL , intraoperatively , the operation time ranging from 45 to 85 minutes . postoperatively , the study revealed that 3 patients were found hypotensive( 6%), fever more than 38 degree occurred in 7 patients (14%) . Hemoglobin level dropped more than 1gm/dl in only 4 patients 8% , blood transfusion needed in only 2 patients , hospital readmission was needed by 7 patients (14%) within 1 week postoperatively. Outpatient follow up of the patients underwent daycase PCNL revealed that 39 patient returned to normal activities within 4 days (78%) but 11 patients took 4-7 days( 12%) Conclusions: Tubeless PCNL is safe, feasible, and less morbid alternative to classic PCNL . decreased period of hospital stay , rapid return to normal social activities decreasing the economic burden regarding person and society. |