Risk Factors of Post PCNL Systemic Inflamatory Response Syndrome (SIRS) | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 22, Volume 76, Issue 3, July 2019, Pages 3774-3778 PDF (391.79 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2019.40642 | ||
| Authors | ||
| Mohamed Kamal* ; Atef Ahmed Hamdy; Abdullah Mohamed | ||
| Urology Department, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: urolithiasis is one of the most common benign urologic diseases, with a nearly 10% of lifetime incidence. In addition, the prevalence of urolithiasis has been rising through the decade worldwide. Objective: To determine the parameters and contributing factors that are associated with SIRS following PCNL. Materials and Methods: an observational retrospective case control study, the medical records of all patients who underwent PCNL for renal stones in-between 10/2017 and 4/2019 (320 patients) at Al-Hussein and Sayed Galal, AlAzhar University Hospitals had been reviewed. The demographic and perioperative data of these patients had been collected. Results: the study comprised 307 patients, the mean age of the studied patients was 40.9±15.8 years (range: 2.5 to 70 years). The mean BMI was 26±3 (range: 18 to 35). There were 193(62.9%) males and 114(37.1%) females. Twenty two patients had bilateral renal stone. In 170(55%) cases the targeted stone was in left side and the rest was in the right one. Forty eight (15.6%) cases developed SIRS post-operative. The age, gender, residual stones, hepatitis and diabetes were found to be independent risk factors for SIRS. Conclusions: good preoperative assessment and strict control of DM and haptic diseases before the procedure, try to render the patient stone free intraoperative as much we can and strict follow up to these categories of patients postoperatively to detect inflammatory response and infectious complications as early as possible. | ||
| Keywords | ||
| SIRS; infectious complications; percutaneous nephrolithotomy | ||
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