[Technical innovations in endourological stone therapy]. / Technische Innovationen in der endoskopischen Steintherapie.
Urologe A
; 47(5): 587-90, 2008 May.
Article
en De
| MEDLINE
| ID: mdl-18427767
ABSTRACT
Endoscopic stone management is a field of consistent technical innovation. For ureterorenoscopy, flexible scopes capable of 270 degrees deflection have allowed access to the complete urinary tract, including the lower-pole renal calculi. To counter the flaw of high repair costs, new-generation flexible ureterorenoscopes feature significantly greater durability and a less frequent need for repair. The development and improvement of auxiliary instruments such as access sheaths has facilitated the procedures, reduced complications, and improved the stone-free rates. A similar trend is seen for percutaneous nephrolitholapaxy (PCNL). Development is directed at miniaturised instruments such as the mini-PCNL. Especially in combination with a tubeless procedure in which a routine nephrostomy after PCNL is omitted and the nephrostomy tract is closed using hemostyptic sealant, similar success rates are achieved, with fewer complications and shorter hospital stays.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Nefrostomía Percutánea
/
Cálculos Renales
/
Cálculos Ureterales
/
Histeroscopios
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
De
Revista:
Urologe A
Año:
2008
Tipo del documento:
Article