Indian Journal of Urology Users online:579  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size
ORIGINAL ARTICLE
Year : 2015  |  Volume : 31  |  Issue : 1  |  Page : 38-41

Determining the angle and depth of puncture for fluoroscopy-guided percutaneous renal access in the prone position


Department of Urology, and Department of Radiology, Chitale Clinic Pvt. Ltd., 165 D Railway Lines, Solapur, Maharashtra, India

Correspondence Address:
Dr. Gyanendra Sharma
Chitale Clinic Pvt. Ltd., 165 D Railway Lines, Solapur - 413 001, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.145291

Rights and Permissions

Introduction: Optimal renal access is necessary for ensuring a successful and complication-free percutaneous nephrolithotomy. We describe a technique to determine the angle and depth of puncture for fluoroscopy-guided percutaneous renal access in the prone position. Materials and Methods: Forty-two consecutive patients undergoing percutaneous nephrolithotomy from January 2014 had a fluoroscopy-guided access in the prone position. Using the bull's eye technique, the site of skin puncture and the angle of puncture were determined. These parameters were utilized to calculate, mathematically, the depth of the targeted calyx. These measurements were then utilized for puncture. The actual depth of puncture was then calculated. The number of attempts, time of fluoroscopy and difference between estimated and actual depth were noted and analyzed. Results and Limitations: There was a difference of 0-3 mm between the estimated and the actual depth at which puncture was made. Single-attempt puncture was possible in >95% cases. No complications related to access were observed. Conclusion: By estimating the angle and depth of puncture, the percutaneous renal access becomes technically less challenging.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3121    
    Printed71    
    Emailed3    
    PDF Downloaded313    
    Comments [Add]    

Recommend this journal

 

HEALTHWARE INDIA