CLINICAL STUDY AND SURGICAL MANAGEMENT OF RENAL STONE BY PERCUTANEOUS NEPHROLITHOTOMY
Journal of Evolution of Medical and Dental Sciences
BACKGROUND Although stone disease is one of the most common afflictions of modern society, it has been described since antiquity. Urinary stone disease has perplexed the physicians for many centuries. Even today in spite of sophisticated research techniques and expand understanding of disease process, urinary calculi are major problems. OBJECTIVES 1. To study the mode of clinical presentation of renal stone. 2. To study the preoperative and postoperative haematological test. 3. To study the
... 3. To study the preoperative and postoperative renal function test. METHODS 50 patients diagnosed as renal stone more than 2.5 cm in size above pelvi-ureteric junction and admitted for Percutaneous Nephrolithotomy (PCNL) surgery in KIMS, Karad, during period Dec. 2013 to June 2015. RESULTS Mean age of presentation was 43.56+13.98 years. Incidence more in males 34 (68%) than females 16 (32%); 24 (48%) patients diagnosed as left renal calculi, 24 (48%) patients as right renal calculi and 2 (4%) patients as bilateral renal calculi; 31 (62%) patients were Non-vegetarian and 19 (38%) were Vegetarian; 30 (60%) patients were using borewell water and 20 (40%) patients were using tap water. All the patients presented with pain abdomen; 80% had burning micturition and 28% had Haematuria. The fall in mean Haemoglobin (Hb) was 0.78 gm/dL and fall in Mean Packed Cell Volume (PCV) was 2.33%, which was statistically significant. Fall in mean serum creatinine was 0.21 mg%, which suggested improvement in creatinine clearance. CONCLUSION Renal stone show a peak incidence in the 5th decade accounting for 36% of cases. Post-operatively, Hb, PCV and Creatinine done after 48 hours which show drop in mean HB was 0.78 g/dL and drop in mean PCV was 2.34% suggested minimal blood loss during surgery. Fall in mean serum creatinine was 0.21 mg%, which suggested improvement in creatinine clearance after PCNL surgery.