EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

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Abstract

COMPARATIVE EVALUATION OF SUPRACOSTAL AND INFRACOSTAL APPROACHES: UPPER POLE ASSESS FOR PCNL

Muhammad Faruk Hossain Sheikh*, Mohammad Manirul Islam, Mominul Haider, B. M. Saiduzzaman, Md. Obaidur Rahman and Mohammad Shafikul Islam

ABSTRACT

Introduction: Renal stone disease is a challenging problem in urological practice because of large stone burden and recurrence. The goal of stone treatment is to use a less morbid, minimally invasive and effective modality There are a lot of uncertainty with renal stone management, many factors impact on management course, stone up to 10 mm can be pass on their own, roughly, the chance of a stone passing spontaneously is inversely to the size in millimeters. Objectives: The aim of this study was to compare the safety and efficacy between suprscostal and infracostal upper pole approaches for PCNL. Methods: This Quasi experimental study was carried out in the Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh Medical College Hospital, Popular Medical College and Hospital; and Barakah Kidney Hospital & Research Institute, Dhaka, during the period of February 2011 to January 2013, to compare the safety and efficacy between supracostal and infracostal upper pole approaches for PCNL. Results: The mean duration of operation time was found 80.9±31.7 minutes in group I and 76.5±29.2 minutes in group II. The mean length of hospital stay was 3.98±0.70 days and 4.12±0.65 days in group I and group II respectively. The mean duration of operation were higher in group I but not statistically significant (p>0.05). Conclusion: With the development of instruments and increased experience, judiciously made supracostal tracts in a single session percutaneous nephrolighotomy for treating complex stones in selected cases is safe, feasible and effective within acceptable morbidity in achieving a greater stone clearance.

Keywords: Nephrolithotomy, supracostal, infracostal, upper pole.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia