Comparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: A single-center experience

Objective: The objective of this study was to compare mini-percutaneous nephrolithotomy (PCNL) performed by standard and Miniperc techniques in pediatric patients. Materials and Methods: This was a retrospective study conducted at our institution between January 2012 and December 2017. The outcomes...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Abhay Dinkar Mahajan, Sumeeta Abhay Mahajan
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	bleeding drop in hemoglobin mini-percutaneous nephrolithotomy miniperc pain pediatric stones Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/b85d82ef4ce84e4e9df138c6b13ea73c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b85d82ef4ce84e4e9df138c6b13ea73c
record_format	dspace
spelling	oai:doaj.org-article:b85d82ef4ce84e4e9df138c6b13ea73c2021-11-19T10:42:05ZComparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: A single-center experience0971-92611998-389110.4103/jiaps.JIAPS_212_20https://doaj.org/article/b85d82ef4ce84e4e9df138c6b13ea73c2021-01-01T00:00:00Zhttp://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=6;spage=374;epage=379;aulast=Mahajanhttps://doaj.org/toc/0971-9261https://doaj.org/toc/1998-3891Objective: The objective of this study was to compare mini-percutaneous nephrolithotomy (PCNL) performed by standard and Miniperc techniques in pediatric patients. Materials and Methods: This was a retrospective study conducted at our institution between January 2012 and December 2017. The outcomes of pediatric renal stones treated by mini-PCNL done by Miniperc and standard techniques were compared in terms of the drop in the hemoglobin, stone-free rate, and analgesic requirement in the first 24 h. Results: A total of 57 children (age: 1–16 years), who underwent mini-PCNL by Miniperc equipment (n = 23) and standard equipment (n = 34), were included in this study. The postoperative mean drop in hemoglobin was significantly higher in mini-PCNL done by standard compared to the Miniperc technique. The stone-free rate was 95.65% in the Miniperc group and 94.12% in the standard mini-PCNL group. The need for analgesics was significantly lower in the Miniperc group compared to the standard mini-PCNL group (P = 0.0002). In the Miniperc group, the majority of the patients required only one dose of analgesics, whereas, in the standard mini-PCNL group, around 44% of the patients required three or more than three doses of analgesics to reduce postoperative pain. Conclusion: Both the techniques were safe and efficacious in the management of pediatric renal stone and stone clearance. However, the Miniperc technique resulted in significantly less pain and a lower dosage of analgesics.Abhay Dinkar MahajanSumeeta Abhay MahajanWolters Kluwer Medknow Publicationsarticlebleedingdrop in hemoglobinmini-percutaneous nephrolithotomyminipercpainpediatric stonesPediatricsRJ1-570SurgeryRD1-811ENJournal of Indian Association of Pediatric Surgeons, Vol 26, Iss 6, Pp 374-379 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	bleeding drop in hemoglobin mini-percutaneous nephrolithotomy miniperc pain pediatric stones Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	bleeding drop in hemoglobin mini-percutaneous nephrolithotomy miniperc pain pediatric stones Pediatrics RJ1-570 Surgery RD1-811 Abhay Dinkar Mahajan Sumeeta Abhay Mahajan Comparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: A single-center experience
description	Objective: The objective of this study was to compare mini-percutaneous nephrolithotomy (PCNL) performed by standard and Miniperc techniques in pediatric patients. Materials and Methods: This was a retrospective study conducted at our institution between January 2012 and December 2017. The outcomes of pediatric renal stones treated by mini-PCNL done by Miniperc and standard techniques were compared in terms of the drop in the hemoglobin, stone-free rate, and analgesic requirement in the first 24 h. Results: A total of 57 children (age: 1–16 years), who underwent mini-PCNL by Miniperc equipment (n = 23) and standard equipment (n = 34), were included in this study. The postoperative mean drop in hemoglobin was significantly higher in mini-PCNL done by standard compared to the Miniperc technique. The stone-free rate was 95.65% in the Miniperc group and 94.12% in the standard mini-PCNL group. The need for analgesics was significantly lower in the Miniperc group compared to the standard mini-PCNL group (P = 0.0002). In the Miniperc group, the majority of the patients required only one dose of analgesics, whereas, in the standard mini-PCNL group, around 44% of the patients required three or more than three doses of analgesics to reduce postoperative pain. Conclusion: Both the techniques were safe and efficacious in the management of pediatric renal stone and stone clearance. However, the Miniperc technique resulted in significantly less pain and a lower dosage of analgesics.
format	article
author	Abhay Dinkar Mahajan Sumeeta Abhay Mahajan
author_facet	Abhay Dinkar Mahajan Sumeeta Abhay Mahajan
author_sort	Abhay Dinkar Mahajan
title	Comparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: A single-center experience
title_short	Comparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: A single-center experience
title_full	Comparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: A single-center experience
title_fullStr	Comparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: A single-center experience
title_full_unstemmed	Comparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: A single-center experience
title_sort	comparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: a single-center experience
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/b85d82ef4ce84e4e9df138c6b13ea73c
work_keys_str_mv	AT abhaydinkarmahajan comparisonofminipercutaneousnephrolithotomybystandardandminipercinstrumentsinpediatricpopulationasinglecenterexperience AT sumeetaabhaymahajan comparisonofminipercutaneousnephrolithotomybystandardandminipercinstrumentsinpediatricpopulationasinglecenterexperience
_version_	1718420215829626880

Comparison of mini-percutaneous nephrolithotomy by standard and miniperc instruments in pediatric population: A single-center experience

Ejemplares similares