Flexible nephroscopy effectively detects residual fragments following pnl. Flexible nephroscopy, diagnostic ureteroscopy for upper tract. Dec 11, 2018 flexible nephroscopy is usually performed after the rigid nephroscope and ultrasonic lithotripter have cleared a large, central, stone burden and peripheral calyceal calculi remain. Nephroscope medical definition merriamwebster medical. A free powerpoint ppt presentation displayed as a flash slide show on id. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Percutaneous nephrolithotomy pcnl a manual for the urologist 21 feeding the guide wire is a critical step and it is important not to hold on to the needle when it is in a calyx before the guide wire has been inserted, as movement of the kidney during respiration will cause the needle to become dislodged. It provides immediate access to the lower pole and midzone and also to the upper pole by gently rotating the kidney on its pedicle.
Pediatric nephrotic syndrome adam goldstein howard trachtman, m. Removal of a retroperitoneal foreign body through single port laparoscopy using nephroscope. Present indications and techniques of percutaneous. Once all the stones that can be visualized by the nephroscope are cleared, a flexible cystoscope is introduced to view all the other calyces and remove stones with a stone basket. The rigid endoscope is often prohibited access to these peripheral stones, while the flexible 1518f nephroscope can direct a lithotrite safely onto them. Whats new in percutaneous nephrolithotomy sciencedirect.
Nephroscope definition of nephroscope by medical dictionary. Jpg to pdf convert jpg images to pdf documents online. Follow these instructions to set the print quality of the pdf. Percutaneous nephrolithotomy is usually performed with the patient in a prone position, but this prone position has several disadvantages.
Powerpoint presentatie opslaan als, of converteren naar pdf. Presentations ppt, key, pdf logging in or signing up. Yag co2 physical comparison pigmented tissue er co2 0. Under print quality paper pdf, set the desired quality to an option of your choice. Convert and create pdf from various types of files like word doc, excel xls, powerpoint ppt. In the powerpoint preferences dialog box, click general.
The rigid nephroscope may not be able to access all the stones and stone fragments may migrate into a calyx. Fluoroscopic guidance has been used to guide the percutaneous renal access, establish the working tract and perform the stone manipulation. Basic information nephrotic syndrome ns reflects glomerular dysfunction causing proteinuria without compromising gfr occurs at all ages but is most prevalent in children between the ages 1. This free online jpg to pdf converter allows to combine multiple images into a single pdf document. Updates to aamis st79 steam sterilization standard. Download your new pdf and save it to your computer. Nephrology recall the composition of renal calculi in the setting of chronic uti struvite infection stones magnesium ammonium phosphate urease producing bacteria.
In one study, significant risk factors for severe bleeding were upper caliceal puncture, solitary kidney, staghorn stone, multiple punctures, and inexperienced surgeon 16. The third step is to introduce a nephroscope via the amplatz sheath into the pelvicalyceal system to locate the stones fig 11. Courrent pinion postpercutaneous nephrolithotomy bleeding. In addition, the extra long working length is suited for obese patients. A small nephrostomy tract miniperc, 20f24f may be used. For small stones in the lower pole and for morbidly obese patients who have small calculi and are not candidates for other treatments, the flexible nephroscope can be used as the primary endoscope to manage renal calculi percutaneously. The benefits keep adding up the capital expense of buying reusable ureteroscopes is just the beginning. Find any required new, refurbished or used nephroscope equipment or device. This includes word, excel, powerpoint, openoffice, text, and srt formats. Describe treatment options for renal replacement therapy to improve awareness and understanding. A nephro scope is inserted into the renal pelvis,and ultrasonic waves are used to fragment the stone.
Ppt nephrology powerpoint presentation free to download. Urolithiasis is one of the common causes of morbidity and deterioration of quality of life worldwide, with rates ranging from 7% to % in north america, 5% to 9% in europe and 1% to 5% in asia. Pdf removal of a retroperitoneal foreign body through. Free online document translator preserves your document. Kidney problem urinary tract infection urinary system. Chapter 26 nursing care of clients with urinary tract disorders 719 kidney stone skin irrigation fluid eyepiece irrigation drain ultrasonic probe nephroscope figure 264 percuta neous ultrasonic lithotripsy. Use evidencebased strategies to manage patients with kidney failure in need of renal replacement therapy to improve outcomes. When the conversion is done, your ppt, pptx, and pdf files will be automatically deleted. Pediatric nephrotic syndrome national kidney foundation. Platinum priority stone disease editorial by xxx on pp. Blunt nephrolithotomy followed by closure of the capsule ensures.
While immersed, clean the inside of the instrument channel ports with a short cleaning brush. General reprocessing instructions for karl storz products usa pi00003520. Introduction laparoscopic surgery requires sophisticated and precisely calibrated instruments. Discussion percutaneous nephrolithotomy is the primary procedure for the management of patients with renal stones who are not candidates for eswl. Discuss the mechanisms of the major manifestations of the ns edema, hyperlipidemia, thrombotic tendency discuss the clinical features and. We also intend to introduce support for the pdf file format in the near future. The calculi were accessed by a 12f mini nephroscope, laser lithotripsy was used in 12 cases and pneumatic lithotripsy used for the rest. The nephroscope is passed through the sh eath to visualize the inside of the collecting system. We strive to support all major office document formats in standard use today. General reprocessing instructions for karl storz products usa. All nephrology presentations ukidneys nephrology community. Estimated delivery dates opens in a new window or tab include sellers handling time, origin zip code, destination zip code and time of acceptance and will depend on shipping service selected and receipt of cleared payment opens in a new window or tab. The nephrotic syndrome gerald b appel, md vivette dagati, md objectives nephrotic syndrome define the nephrotic syndrome. The miniperc can be defined as a percutaneous procedure with a tract size of nephroscope definition.
Lithovue a new scope for every patient boston scientific. We used rigid ureteroscope for the visualization of common bile duct stone. Foreign bodies are rare and challenging issues leading to symptoms according to the location. Nephrotic syndrome in pediatric patients 2 o commonly a defect in the podocytes andor glomerular basement membrane o recent experiments have implicated tcells in the damage to podocytes leading to 2 common types of nephrotic syndrome minimal change disease and focalsegmental glomerulosclerosis. Also, due to the association of rotation anomalies of the kidney, the renal pelvis is situated anteriorly, and the length of the nephrostomy tract may exceed that of the rigid nephroscope, requiring the use of the flexible one fig. Nephrotic syndrome in childhood allison a eddy, jordan m symons childhood nephrotic syndromes are most commonly caused by one of two idiopathic diseases. In addition to the initial investment,19,20,23,24 it costs thousands of dollars to. Mini percutaneous nephrolithotomy for renal calculi in paediatric. Pdf converter is a online webbased document to pdf converter software. Save powerpoint presentations as pdf files office support. Use of a novel flexible mininephroscope in minimally invasive.
Pcnl tips and tricks for a good puncture ho siew hong consultant urologist s h ho urology and laparoscopy centre gleneagles hospital. Ultrasoundguided xray free percutaneous nephrolithotomy for treatment of simple stones in the flank position. The standard 26 fr rigid rodlens nephroscope with offset eyepiece provides excellent optics and allows the use of strong rigid instruments to deal with the stones. Minimally invasive pcnl was done with rigid 12 f mipm nephroscope, followed by flexible mininephroscopy for smaller stones in other. Easily combine multiple jpg images into a single pdf file to catalog and share with others. The essential difference between instruments used in open surgery and people utilized for laparoscopic surgery would be that the latter are more complex in design and yet delicate in construction. Percutaneous nephroscopy urology coding ask an expert. The diaphragm is traversed in all inter costal punctures and occasionally in punctures below the 12 th rib as well.
Aug 30, 2008 dr ho siew hong shared his experience on how to perform the ideal puncture for pcnl in a lecture to asian urologists during the advanced urology course 2008 in. Yag laser fig 5 using a 365 micron endfiring fiber. Hi, a percutaneous nephroscope is a thin fiberoptic probe that can be inserted into the kidney through an incision in the skin. A third distinct type, membranous nephropathy, is rare in children. Pdf use of rigid nephroscope for laparoscopic common. Laparoscopy is a popular and minimally invasive method used for removal of foreign bodies in the abdominal cavity or retroperitoneum. Olympus oes pro percutaneous nephroscopes combine the latest hybridlens technology with a highflow sheath design, offering unsurpassed clear image quality. The use of us guidance has other advantages in addition to being free of ionizing radiation. No file size restrictions, no ad watermarks just a free online tool for creating pdfs from your ppt slides.
Current trends and pitfalls in endoscopic treatment of. Kidney problem free download as powerpoint presentation. Endoscopic removal of intravesical thermometer using a. First antegrade than retrograde flexible nephroscopy was performed and. It allows visualization of the inside of the kidney with the help of light transmitted through the fibres.