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Preoperative Assessment and Patient Preparation for PCNL Surgery

  • Simon K. S. Choong
  • Gautam Kumar
Chapter
  • 34 Downloads

Abstract

PCNL is a complex major operation, and preoperative assessment and patient preparation are designed to optimize patients for their surgery and to deliver safe surgery and anaesthesia. Regular multidisciplinary planning and safety meetings are useful to optimize patient care preoperatively and to reduce intraoperative and postoperative complications. A UTI must be treated preoperatively and appropriate antibiotics should be given at induction and postoperatively. Anticoagulants and powerful antiplatelet medication must be stopped perioperatively and a bridging plan put in place. High-risk patients should be identified and electively managed after their surgery in a high dependency unit.

Keywords

PCNL Kidney stones Preoperative assessment UTI Sepsis Raised BMI Spina bifida Anticoagulation Critical care management Multidisciplinary planning 

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Simon K. S. Choong
    • 1
  • Gautam Kumar
    • 1
  1. 1.Institute of UrologyUniversity College London HospitalsLondonUK

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