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this present study is to compare the result of fluoroscopy, ultrasonography (US) in the guidance of percutaneous nephrostomy pcn .
investigators will enroll 100 patients who are candidates for PCN in the study. By simple random sampling technique, patients will be assigned to two patient groups (group 1, US-guided approach , group 2, fluoroscopy-guided approach.The end point of the study is the comparison of outcome of procedure including stone free rate, transfusion rate, operation time, access time, length of stay and complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultrasonographic guided renal access | Experimental | The use of ultrasound to make a puncture in kidney for pcn for drainage or evaluation of function or for shunt of urine |
|
| Fluoroscopic guided renal access | Experimental | The use of fluoroscopy to make a puncture in kidney for pcn for drainage or evaluation of function or for shunt of urine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Renal puncture | Procedure | The use of a needle for entering pelvicalyceal system of the kidney and put a guide wire for further pcn |
|
| Measure | Description | Time Frame |
|---|---|---|
| Duration of puncture | The time taken for make a puncture | Within the operation |
| duration of operation | time taken from patient putted on table until end of operation | withen the operation |
| Rate of success | the rate success of intervention by u/s or by fluoroscopy | withen the operation |
| Measure | Description | Time Frame |
|---|---|---|
| rate of Perioperative complication | numbers of patients with Adverse effects occures intra operative ,bleeding ,extravasation | withen the operation |
| Haemoglobin concentration change | Compare preoperative and post operative Hg concentration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mostafa K Abdel rahman, A lecturer | Contact | +201061133200 | Mostafa075@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Fathy G Elanany, Prof | Assiut | Study Director |
| Mohamed A Sayed, Prof | Assiut | Study Director |
| Hosney M Bahnasawy, Ass Prof |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mostafs Kamel Abdel Rahman | Recruiting | Asyut | Sedfa | 11775 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31484611 | Background | Chen X, Peng PX, He YH, Ding ZS, Wang JF, Tan YW, Zhou XF. [Evaluation and Comparison of SHA.LIN,S.T.O.N.E.Nephrolithometry Scoring System,and Clinical Research Office of the Endourological Society Nephrolithometry Nomogram for Predicting Stone Free Rate and Postoperative Outcomes after Percutaneous Nephrolithotomy]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2019 Aug 30;41(4):492-500. doi: 10.3881/j.issn.1000-503X.10767. Chinese. | |
| 28221157 |
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| ID | Term |
|---|---|
| D006869 | Hydronephrosis |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| 24 hours post procedure |
| Assiut |
| Study Director |
| Background |
| Zanetti SP, Boeri L, Gallioli A, Talso M, Montanari E. Minimally invasive PCNL-MIP. Arch Esp Urol. 2017 Jan;70(1):226-234. |
| 29477809 | Background | Gulati M, Cheng J, Loo JT, Skalski M, Malhi H, Duddalwar V. Pictorial review: Renal ultrasound. Clin Imaging. 2018 Sep-Oct;51:133-154. doi: 10.1016/j.clinimag.2018.02.012. Epub 2018 Feb 16. |
| 21740734 | Background | Qiu Z, Yang Y, Zhang Y, Sun YC. Modified biological training model for percutaneous renal surgery with ultrasound and fluroscopy guidance. Chin Med J (Engl). 2011 May;124(9):1286-9. |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |