The Goetz mini loin incision: a new minimally invasive technique for removal of kidney stones
West Indian med. j
; 47(suppl. 2): 31, Apr. 1998.
Article
em En
| MedCarib
| ID: med-1875
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
A mere 2" incision in the line of the 12th rib, The Goetz Mini Loin Incision (GMLI) was developed in South Trinidad to provide a safe, cost effective access to the kidney for removal of renal calculi comparable to the standard options currently available such as open nephrolithotomy, percutaneous nephrolithotomy (PCNL) or extra corporeal shock wave lithotripsy (ESWL). It provides immediate access to the lower pole and midzone and also to the upper pole by gently rotating the kidney on its pedicle. Blunt nephrolithotomy followed by closure of the capsule ensures complete haemostasis without any vascular clamping. 23 of 30 mini loin nephrolithotomies were each completed within an hour with an average time of 54 minutes and the rest at an average time at 79 minutes. The shortest length of stay was <24 hours in 11 and the longest just over 3 nights in 5 patients, with the rest staying overnight. The GMLI is a minimally invasive and cost effective alternative to standard nephrolithotomy, PCNL and ESWL.(AU)
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Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Cálculos Renais
Limite:
Humans
Idioma:
En
Revista:
West Indian med. j
Ano de publicação:
1998
Tipo de documento:
Article