RESUMO
This retrospective analysis of the feasibility and safety of percutaneous renal stone removal using single-use flexible ureteroscopes was conducted at 3 academic centers. Twelve patients (58% men) underwent 14 percutaneous renal stone removal procedures between December 2021 and March 2023. All patients experienced symptom improvement and resolution of obstruction after stone removal. The procedural success rate was 92%. Only 1 patient required an additional stone removal procedure. No major adverse events occurred during or after the procedures. The percutaneous nephrostomy removal rate was 92%, with a median tube removal time of 5 weeks. The median procedural and pulsed fluoroscopy times were 106.5 and 16.3 minutes, respectively. Preliminary findings demonstrated that percutaneous renal stone removal using single-use endoscopes by interventional radiologists is feasible and safe.
Assuntos
Cálculos Renais , Nefrostomia Percutânea , Masculino , Humanos , Feminino , Estudos Retrospectivos , Radiologia Intervencionista , Cálculos Renais/diagnóstico por imagem , Cálculos Renais/cirurgia , Rim , Nefrostomia Percutânea/efeitos adversos , Nefrostomia Percutânea/métodos , Resultado do TratamentoRESUMO
Intertrochanteric hip fractures typically become deformed by the muscular and gravitational forces acting on the 2 main bony fragments. Traditional use of a fracture table for anatomical reduction normally corrects for the varus angulation, external rotation, and posterior sag that can occur, but, in select unstable and comminuted fractures, reduction may not be possible because of posterior sag and external rotation of the proximal fragment. These aspects of malreduction have been addressed in multiple ways, including use of unscrubbed assistants, crutches, internal rotation of the distal fragment by internal rotation of the foot, bumps and pads, and even intraoperative techniques. However, these techniques tend to adjust only 1 aspect of malreduction and may require intraoperative adjustment. In this article, we describe a novel surgical device, the pneumatic patient positioner, that can be used to address these deformities without the need for intraoperative adjustment.