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Supine and Supine Modified PNL in Special Situations

  • Cecilia Maria CraccoEmail author
  • Cesare Marco Scoffone
  • Arvind P. Ganpule
  • Amit Doshi
  • Mahesh R. Desai
Chapter

Abstract

PNL is a safe and effective procedure not only in a standard patient (adult with normal body mass index (BMI) and body habitus, no renal malformations, first procedure for urolithiasis, no previous renal or abdominal surgery, normal anaesthesiological risk) but also in a variety of particular situations regarding the patient’s physical and clinical features. The only exception is pregnancy; in fact, although anecdotical cases performed during early pregnancy have been reported, PNL regardless to patient positioning is not advised in this case and should be delayed till after delivery. Elderly, obese, and high-risk patients, children, patients with skeletal malformations or urinary anomalies, previous surgery, and urinary diversions may greatly benefit from PNL in the supine position, which may even be obliged in ectopic pelvic or transplanted kidneys. Of course, not all musculoskeletal deformities can be easily arranged in the supine position, and bilateral procedures or certain renal stones in calyceal diverticula of the superior district might rather benefit from the prone position.

Keywords

Stone Formation Renal Stone Extracorporeal Shock Wave Lithotripsy Skeletal Malformation Urinary Tract Dilation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  • Cecilia Maria Cracco
    • 1
    Email author
  • Cesare Marco Scoffone
    • 1
  • Arvind P. Ganpule
    • 2
  • Amit Doshi
    • 2
  • Mahesh R. Desai
    • 2
  1. 1.Department of UrologyCottolengo HospitalTorinoItaly
  2. 2.Department of UrologyMuljibhai Patel Urological HospitalNadiadIndia

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