Haemorrhagic complications of percutaneous lithotripsy: original methods of treatment.
698 patients treated for nephrolithiasis with the application of percutaneous lithotripsy were analysed. In 32 cases increased bleeding in the course of the procedure occurred. It was controlled without surgery with blood transfusion, constant renal saline flow maintenance, electrocoagulation, kidney parenchyma pressing with thick drain and approach canal tamponade. In one case the approach to the kidney was obtained surgically and the kidney parenchyma was stitched with haemostatic suture. One patient required selective embolization due to kidney haemorrhage after nephrostomy drain removal.
Department of Urology, Medical University of Bialystok, Poland.
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L
Galek
B
B
Darewicz
T
T
Werel
J
J
Darewicz
D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male