Supine percutaneous nephrolithotomy in a patient with a history of previous spinal surgeries

Patients with abnormal body habitus because of spinal deformities and patients having undergone previous spinal surgeries present a challenge during surgical, anesthesiologic, and technical procedures. In these patients, management of urolithiasis may be difficult because of anatomic variations and...

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Bibliographic Details
Published inJournal of the scientific society (Belgaum) Vol. 48; no. 2; pp. 110 - 111
Main Authors Nerli, Rajendra, Patil, Shashank, Chandra, Shoubhik
Format Journal Article
LanguageEnglish
Published Mumbai Wolters Kluwer India Pvt. Ltd 01.05.2021
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Subjects
Back surgery
Calculi, Urinary
Care and treatment
Case reports
Case studies
endourology
Ergonomics
Fluoroscopy
Health risks
Lithiasis
Methods
Morbidity
Patients
percutaneous nephrolithotomy
Percutaneous nephrostomy
Radiation
Radiation effects
Spinal cord injuries
Spine
Spine (lumbar)
Stone
supine
Supine position
Surgery
Urolithiasis
India
supine
Endourology
percutaneous nephrolithotomy
stone
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Summary:Patients with abnormal body habitus because of spinal deformities and patients having undergone previous spinal surgeries present a challenge during surgical, anesthesiologic, and technical procedures. In these patients, management of urolithiasis may be difficult because of anatomic variations and respiratory dysfunction, stone size, spinal deformities, or risk of spinal injuries. Percutaneous nephrolithotomy (PCNL) as monotherapy has advantages in removing large stones and achieving excellent results with minimal morbidity. PCNL in supine position has several advantages attached to it, which include improvement in anesthetic management, decreased intrarenal pressures, decreased radiation exposure and improved ergonomics of fluoroscopy, improvements in patient positioning, and shorter operative time. We report a case of supine PCNL in a patient who was operated previously on the cervical and lumbar spine.
ISSN:0974-5009
2278-7127
DOI:10.4103/jss.jss_49_21