Modern possibilities of interventional radiology in the elimination of percutaneous nephrolithiasis surgery hemorrhagic complications

Author:

Suleymanov S. I.1ORCID,Kadyrov Z. A.2ORCID,Ramishvili V. Sh.2ORCID,Chuvarayan G. A.3,Musokhranov V. V.3,Babkin A. S.2

Affiliation:

1. Peoples’ Friendship University of Russia (RUDN University), the Ministry of Education and Science of Russia; City Clinical Hospital №13

2. Peoples’ Friendship University of Russia (RUDN University), the Ministry of Education and Science of Russia

3. City Clinical Hospital №13

Abstract

Рurpose. To increase the treatment eff ectiveness of patients with various forms of nephrolithiasis based on the development and integration of interdisciplinary approaches to the choice of surgical access. Materials and methods. The study was based on clinical and laboratory data and the results of surgical treatment of 133 patients with various forms of urolithiasis. Results. The analysis of complications of percutaneous surgery is shown by the example of 133 patients with various forms of nephrolithiasis, who underwent PCNL (percutaneous nephrolithotomy). The inclusion of highly informative methods of visualization of urinary stones, multispiral computed tomography with 3D-visualization and densitometry namely in the algorithm of examination of patients with nephrolithiasis is justifi ed. The possibilities of interventional radiology in the elimination of hemorrhagic complications of percutaneous surgery of urolithiasis, including staghorn nephrolithiasis, are presented. Conclusion. The eff ectiveness of the creation of multidisciplinary surgical teams, including specialists in the fi eld of interventional radiology, for the interpretation of diagnostic results, as well as the prevention and elimination of intra- and postoperative hemorrhagic complications, is proven.

Publisher

Medical Informational Agency Publishers

Subject

General Medicine

Reference11 articles.

1. Kryuchkov I.A., Chekhonatskaya M.L., Rossolovskiy A.N., Bobylev D.A. Urolithiasis: etiology and diagnosis (literature Review). Byulleten’ meditsinskikh internetkonferentsiy. 2017;6(2):517–22. (in Russian)

2. Chernyshev I.V., Koridze A.D., Kernitskiy A.I., Shvangiradze I.A. The choice of optimum tactics of the treatment of bilateral staghorn nephrolithiasis. Voyenno-meditsinskiy zhurnal. 2016;337(8):70–2. (in Russian)

3. Malkhasyan V.A., Ivanov V.YU., Gevorkyan A.R. et al. Formation of clinical profi le of an outpatient patient with urolithiasis in Moscow. Voprosy urologii i andrologii. 2017;5(1):23–7. (in Russian)

4. Stus’ V.P., Fridberg A.M., Svetlichnyy E.A., Lyul’ka D.I., Miroshnichenko A.Yu. Diapeutics in addressing the issue of staghorn and multifocal nephrolithiasis, issues of hemostasis. Urolohiya = Urologiya. 2016;20(2(77)):18–24.

5. Imamverdiyev S.B., Talybov T.A. The choice of surgical treatment in patients with staghorn nephrolithiasis. Urologiya. 2016;2:18–22. (in Russian)

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