Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2022 / Cilt: 56 - Sayı: 1

Pre-Operative Parameters Predicting Hemoglobin Decline Related to Percutaneous Nephrolithotomy

Pages
70–76
Publication Date
2022-10-17
DOI
—
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There was a significant difference between the groups in terms of mean operation time (84.4±7 and 76.2±9.9 min, respectively, p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Percutaneous nephrolithotomy (PNL) for upper urinary tract stones is a minimally invasive, effective treatment mo- dality.
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Key Findings & Data:Despite its high success rates, its potential complications pose a risk.
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Conclusion & Impact:There was a significant difference between the groups in terms of mean operation time (84.4±7 and 76.2±9.9 min, respectively, p
🔬Design:Research Article
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: Percutaneous nephrolithotomy (PNL) for upper urinary tract stones is a minimally invasive, effective treatment mo- dality. Despite its high success rates, its potential complications pose a risk. In this study, we aimed to determine the risk factors associated with bleeding which is one of PNL’s most important complications. Methods: The data of patients who underwent PNL between January 2017 and December 2018 were retrospectively analyzed. The median reduction in post-operative hemoglobin levels compared to preoperative levels was found to be 1.6 g/dl, which was accepted as the threshold value. The patients with hemoglobin decrease above the threshold were assigned as Group 1, and below the threshold as Group 2. Pre-operative, perioperative data, and stone characteristics of the patients were recorded. Results: 169 patients, 85 patients in Group 1 and 84 patients in Group 2 were included in the study. The mean age of Group 1 was sig- nificantly higher (47.4±7.9 and 32±9.4 years, respectively, p=0.001) Sixteen in Group 1 (18.8%) and six in Group 2 (7, 1%) had a diagno- sis of hypertension (HT) and a significant difference was found (p=0.038). The average stone burden was 2733±1121.3 mm3 in Group 1, and 2326.5±975.6 mm3 in Group 2. It was observed that there was a significantly higher stone burden in Group 1 (p=0.001). There was a significant difference between the groups in terms of mean operation time (84.4±7 and 76.2±9.9 min, respectively, p

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Cite This Article

Eksi, M., Ozlu, D. N., Kargi, T., Yavuzsan, A. H., Haciislamoglu, A., Karadag, S., Sahin, S., Tasci, A. I. (2022). Pre-Operative Parameters Predicting Hemoglobin Decline Related to Percutaneous Nephrolithotomy. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 56 - Sayı: 1, 70–76. https://ajindex.com/articles/594621

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