ISSN 0303-5212
 

Original Research 


Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy

Batool Amer Attallah, Majed A Mohammad.

Abstract
Objective: To compare single-step dilatation technique with the stepwise (serial) dilatation technique in order to create a nephrostomy tract during percutaneous nephrolithotomy.
Methodology: This comparative interventional single-center study was conducted from May 2020 to November 2021 at Basra Teaching Hospital, Iraq. Fifty patients in group A underwent the single-step dilatation and 70 patients in group B were subjected to the stepwise dilatation technique in percutaneous nephrolithotomy. We recorded number of punctures, operation time, complications and success.
Results: There were no significant statistical differences in both groups regarding success rate, hospital stay, intra and postoperative complications, and bleeding that required blood transfusion. The stepwise dilatation technique had a considerably longer mean dilatation time than the single-step method did. The single-step dilatation technique had a much shorter mean radiation exposure a shorter mean total operating time than the stepwise strategy.
Conclusion: The construction and dilatation of a percutaneous nephrolithotomy nephrostomy tract can be successfully carried out using a single-step dilatation procedure, which requires less radiation exposure, less time during surgery, and shorter dilatation time.

Key words: Single–step dilatation, stepwise dilatation technique, percutaneous nephrolithotomy.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Batool Amer Attallah
Articles by Majed A Mohammad
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Attallah BA, Mohammad MA. Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy. RMJ. 2023; 48(2): 425-428. doi:10.5455/rmj.20230311075832


Web Style

Attallah BA, Mohammad MA. Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy. https://www.rmj.org.pk/?mno=146093 [Access: December 04, 2023]. doi:10.5455/rmj.20230311075832


AMA (American Medical Association) Style

Attallah BA, Mohammad MA. Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy. RMJ. 2023; 48(2): 425-428. doi:10.5455/rmj.20230311075832



Vancouver/ICMJE Style

Attallah BA, Mohammad MA. Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy. RMJ. (2023), [cited December 04, 2023]; 48(2): 425-428. doi:10.5455/rmj.20230311075832



Harvard Style

Attallah, B. A. & Mohammad, . M. A. (2023) Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy. RMJ, 48 (2), 425-428. doi:10.5455/rmj.20230311075832



Turabian Style

Attallah, Batool Amer, and Majed A Mohammad. 2023. Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy. Rawal Medical Journal, 48 (2), 425-428. doi:10.5455/rmj.20230311075832



Chicago Style

Attallah, Batool Amer, and Majed A Mohammad. "Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy." Rawal Medical Journal 48 (2023), 425-428. doi:10.5455/rmj.20230311075832



MLA (The Modern Language Association) Style

Attallah, Batool Amer, and Majed A Mohammad. "Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy." Rawal Medical Journal 48.2 (2023), 425-428. Print. doi:10.5455/rmj.20230311075832



APA (American Psychological Association) Style

Attallah, B. A. & Mohammad, . M. A. (2023) Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy. Rawal Medical Journal, 48 (2), 425-428. doi:10.5455/rmj.20230311075832