Abdelmowla, H., Ahmed, R., Hussein, A., Shahat, A., Abdalla, M. (2016). Evaluate the Severity of Complications for Percutaneous Nephrolithotomy and Open Surgery for Large Renal Stone. test, 4(8), 164-174. doi: 10.21608/asnj.2016.60390
Hanan Ahmed Abdelmowla; Rasha Ali Ahmed; Attyiat Hassan Hussein; Ahmed Abdelhamid Shahat; Medhat Ahmed Abdalla. "Evaluate the Severity of Complications for Percutaneous Nephrolithotomy and Open Surgery for Large Renal Stone". test, 4, 8, 2016, 164-174. doi: 10.21608/asnj.2016.60390
Abdelmowla, H., Ahmed, R., Hussein, A., Shahat, A., Abdalla, M. (2016). 'Evaluate the Severity of Complications for Percutaneous Nephrolithotomy and Open Surgery for Large Renal Stone', test, 4(8), pp. 164-174. doi: 10.21608/asnj.2016.60390
Abdelmowla, H., Ahmed, R., Hussein, A., Shahat, A., Abdalla, M. Evaluate the Severity of Complications for Percutaneous Nephrolithotomy and Open Surgery for Large Renal Stone. test, 2016; 4(8): 164-174. doi: 10.21608/asnj.2016.60390

Evaluate the Severity of Complications for Percutaneous Nephrolithotomy and Open Surgery for Large Renal Stone

Assiut Scientific Nursing Journal
Article 20, Volume 4, Issue 8, August 2016, Pages 164-174    PDF (611.73 K)
Document Type: Original Article
DOI: 10.21608/asnj.2016.60390
Authors
Hanan Ahmed Abdelmowla1; Rasha Ali Ahmed2; Attyiat Hassan Hussein3; Ahmed Abdelhamid Shahat4; Medhat Ahmed Abdalla5
1Demonstrator in Adult Nursing Department (Medical-Surgical), Faculty of Nursing, Assiut University, Egypt.
2Lecturer in Adult Nursing Department (Medical-Surgical), Faculty of Nursing, Assiut University, Egypt.
3Lecturer in Adult Nursing Department (Medical-Surgical), Faculty of Nursing, Assiut University, Egypt
4Lecturer of Urology, Faculty of Medicine, Assiut University, Egypt.
5Professor of Urology, Faculty of Medicine, Assiut University, Egypt
Abstract
Urinary stone disease is the third most common problem in urology clinics after urinary tract infections and prostate disease. Objectives: evaluate severity of complications of percutaneous nephrolithotomy (PNL) and open surgery for large renal stones. Patients: 150 adult patients with renal stones more than 2 cm were distributed into two equal groups. Group A had PNL and group B had open surgery. Design: Quasi- experimental research design. Setting Assiut Urology and Nephrology Hospital. Tools: (1) Patient assessment sheet and (2) Clavien-Dindo grading system for classification of surgical complications. Results: No significant relation between the both group regarding complications, stone clearance and need for blood transfusion, while mean hospital stays showed significant relation between the both group. As a group (A) stay only 3.7±1.2 days in hospital after operation while group B stay longer time, 6.1±0.53 days after operation.Conclusions: Open renal surgery for large sized stones still has its role in selected cases with stone clearance and complications rates comparable to PNL. Recommendation: The choice between PNL and open surgery for renal stones should be individualized for each patient.
Keywords
Renal Stone; Percutaneous Nephrolithotomy & Open Renal Stone Surgery
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