A Tertiary Care Center's Conventional Percutaneous Nephrolithotomy (PCNL) Complications Rate

INTRODUCTION:In A Tertiary Care Hospital, Monitor The Complication Rate Of Conventional Percutaneous Nephrolithotomy (PCNL)

MATERIALS AND METHODS:

From January 2016 To January 2020, This Descriptive Research Was Carried Out In The Department Of Urology At Lady Reading Hospital In Peshawar, Pakistan. Four Hundred And Forty-Nine Individuals Who Received Standard PCNL Were Studied. Preoperative Non-Contrast CT KUB Was Performed On All Patients. Once The 6fr Ureteric Catheter Had Been Inserted Via The Lithotomy Position, The Patient Was Placed Into A Prone Position, And The Procedure Was Completed Successfully. Prone Posture And 30FR Am Platz Sheaths Were Employed For All Surgeries, With Fluoroscopy Guiding Them. The Use Of A Pneumatic Lithoclast Accomplished Stone Fragmentation. A 16-Fr Foley Catheter Was Used As A Nephrostomy Tube In All Instances. Six Surgeons, Each With A Minimum Of Four Years Of PCNL Experience, Carried Out These Operations. Perioperative Complications Were Rated Using A Modified Clavien Grading Scale

RESULTS:

In All, 46.9 Percent Of The Patients Had Some Issue. There Were 120 (27%) And 54 (12%) Cases With Clavier Grade IAnd Grade II Complications, Respectively. Antipyretics Were Used To Treat Transitory Fever In 67 (15%) Patients Who Experienced Grade I Problems. In Comparison, Simple Pressure Dressings At The Bed Site Addressed Nephrostomy Site Leaking In 53(12%) Of ThePatients. Among Those Who Suffered From Complications Of Grade II, 45 (10 Percent) Needed Blood Transfusions, While 9 (2 Percent) Were Ill With Sepsis And Required Intravenous Antibiotics To Treat It. Patients With Grade Iiia Complications, Such As Persistent Bleeding In 4 (0.8%) Patients Treated With Percutaneous Angioembolization And 6 (1.2%) Who Needed Perinephric Collection Draining, Developed 10 (2%). DJ Stenting Was Performed In 24 (5.3%) Of The Patients Who Had PCS Damage Or Chronic Leaking From A Nephrostomy Site, And A Colostomy Was Performed In 1 (0.2%) Of The Patients Who Had The Colonic Injury. There Was No Evidence Of A Problem Of Category IV Severity. Excessive Hemorrhaging Was To Blame For A Meagre 0.4% Of The Deaths.

CONLCUSION:Nephrolithotomy Using Percutaneous Nephrolithotomy Is A Safe Operation That Is Cost-Effective And Well-Tolerated. Minor Problems Like Transient Fever Or Nephrostomy Site Leaking Are Common, Although They Usually Go Away Independently. The Level Of Complexity Has Been Reduced To Almost Nothing Thanks To The Shrinking Of Pcnls From Conventional To Mini, Ultra Mini, And Micro