Abstract
The most frequent cause of obstructive uropathy with sepsis is ureteral lithiasis. Normally, two positions are used for placement of percutaneous nephrostomy: prone position and supine position. We describe a supine-oblique position without cushion consists of placing the patient in lateral position while we lean him until his back is in a 45° angle with the operating table to perform the percutaneous nephrostomy. Our experience since 2005 with 42 procedures is good, with 100% of success and without important complications.
References
Valdivia JG, Valle J, Lopez JA, Villaroya S, Ambroj C, Ramirez M, Rodriguez JM, Sanchez MA (1998) Technique and complications of percutaneous nephroscopy: experience with 557 patients in the supine position. J Urol 160:1975–1978
Deleuze M, Molliex S, Ripart J (2009) Complicaciones de las posiciones quirúrgicas. Anestesia-Reanimacion. doi:10.1016/S1280-4703(09)55545-4
Acknowledgments
Rafael Baena-Carmona.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Arrabal-Polo, M.A., Arrabal-Martin, M., Saz, T. et al. Emergency percutaneous nephrostomy in supine-oblique position without cushion. Urol Res 39, 521–522 (2011). https://doi.org/10.1007/s00240-011-0384-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00240-011-0384-8