Ultrasound Guided Percutaneous Nephrolithotomy in Mesh-Repaired Incisional Hernia.

IF 1.8 Q3 UROLOGY & NEPHROLOGY Advances in Urology Pub Date : 2021-11-28 eCollection Date: 2021-01-01 DOI:10.1155/2021/1537840
Seyed Hassan Inanloo, Mohammad Reza Nikoobakht, Hamed Akhavizadegan, Mojgan Karbakhsh
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Abstract

Objectives: To describe our technique of percutaneous nephrolithotomy (PNL) in patients with mesh-repaired flank incisional hernia. Polypropylene mesh which is used for fascia strengthening in hernia repair elicits intense inflammatory reaction and the consequent fibrosis alters the characteristics of abdominal wall. Thus, prior history of flank hernia repair with mesh may result in percutaneous nephrolithotomy failure.

Materials and methods: Demographic data, renal stones characteristics, and any complication during surgery and follow-up of patients who were treated by PNL during 2011 to 2020 and had mesh in their flank region were collected.

Results: Percutaneous nephrolithotomy was performed without any problem in 8 patients with guide of ultrasonography.

Conclusion: Based on our experience, ultrasound-guided PNL is feasible and hypothetically superior to fluoroscopy in such circumstances.

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超声引导下经皮肾镜取石术治疗网状修复切口疝。
目的:探讨经皮肾镜取石术(PNL)治疗经网修复的腹侧切口疝的方法。聚丙烯补片在疝修补中用于筋膜强化,引起强烈的炎症反应,引起的纤维化改变了腹壁的特征。因此,先前的腹侧疝修补史可能导致经皮肾镜取石失败。材料与方法:收集2011年至2020年行PNL治疗且侧腹区域有补片的患者的人口学资料、肾结石特征、手术及随访中有无并发症。结果:8例患者均在超声引导下顺利行经皮肾镜取石术。结论:根据我们的经验,在这种情况下,超声引导下的PNL是可行的,并且假设优于透视。
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来源期刊
Advances in Urology
Advances in Urology UROLOGY & NEPHROLOGY-
CiteScore
2.90
自引率
0.00%
发文量
17
审稿时长
15 weeks
期刊介绍: Advances in Urology is a peer-reviewed, open access journal that publishes state-of-the-art reviews and original research papers of wide interest in all fields of urology. The journal strives to provide publication of important manuscripts to the widest possible audience worldwide, without the constraints of expensive, hard-to-access, traditional bound journals. Advances in Urology is designed to improve publication access of both well-established urologic scientists and less well-established writers, by allowing interested scientists worldwide to participate fully.
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