Risk Factors for Intra-operative Bleeding in Percutaneous Nephrolithotomy in an Academic Center: A Retrospective Study
| Author | Hamidreza Nasseh | en |
| Author | Gholamreza Mokhtari | en |
| Author | Samira Ghasemi | en |
| Author | Gelareh Biazar | en |
| Author | Ehsan Kazemnezhad Leyli | en |
| Author | Keivan Gholamjani Moghaddam | en |
| Orcid | Hamidreza Nasseh [0000-0002-4232-7779] | en |
| Orcid | Gholamreza Mokhtari [0000-0002-2125-9244] | en |
| Orcid | Samira Ghasemi [0000-0003-1250-7418] | en |
| Orcid | Gelareh Biazar [0000-0002-4571-6059] | en |
| Orcid | Ehsan Kazemnezhad Leyli [0000-0002-9195-9094] | en |
| Issued Date | 2022-08-31 | en |
| Abstract | Background: Percutaneous nephrolithotomy (PNL) is the treatment of choice for renal stones as a safe, effective, and minimally invasive method. However, bleeding remains a major concern in the procedure. Objectives: This study aimed to investigate the risk factors of bleeding in PNL. Methods: This retrospective descriptive cross-sectional study was conducted in the Urology department of Razi hospital. The data of patients with urinary calculi staghorn type who underwent PNL in a prone position under general anesthesia were recorded. A checklist including patients' demographics, surgical characteristics, and outcomes was filled out for each patient. Results: The data from 151 complete files were gathered. The mean age of the cases was 47.89 ± 12.41 years. The mean hemoglobin (Hb) drop was 1.92 ± 1.56 mg/dL. At least 1 mg/dL Hb drop was observed in all cases. The highest Hb drop was 3 mg/dL.). There was no significant relationship between stone bulk, age, BMI, GFR, surgery duration, and the number of tracts, and Hb drop during PNL (P > 0.05). But there was a positive correlation between Urinary Tract Infection (UTI) history (P = 0.01) and transfusion (P = 0.0001) and Hb drop during PNL. Also, the history of open kidney surgery (P = 0.031), nephrostomy insertion (P = 0.003), and extracorporeal shock wave lithotripsy therapy (ESWL) (P = 0.041) were correlated with the increased risk of Hb drop. Conclusions: Urinary tract infection, history of open surgery, nephrostomy implantation, and ESWL were significantly associated with more bleeding in PNL. | en |
| DOI | https://doi.org/10.5812/aapm-126974 | en |
| URI | https://brieflands.com/journals/aapm/articles/126974 | en |
| Keyword | Bleeding | en |
| Keyword | Risk Factors | en |
| Keyword | Percutaneous Nephrolithotomy | en |
| Keyword | Intraoperative Complications | en |
| Publisher | Brieflands | en |
| Title | Risk Factors for Intra-operative Bleeding in Percutaneous Nephrolithotomy in an Academic Center: A Retrospective Study | en |
| Type | Research Article | en |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- aapm-12-4-126974.pdf
- Size:
- 131.28 KB
- Format:
- Adobe Portable Document Format
- Description:
- Article/s PDF