title: Emergency percutaneous nephrostomy in supine-oblique position without cushion.
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.
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Arrabal-Polo
authors.forename: Miguel
authors.initials: M
authors.lastname: Arrabal-Martin
authors.forename: Tomas
authors.initials: T
authors.lastname: Saz
authors.forename: Pilar
authors.initials: P
authors.lastname: Paiz
mesh_terms: D004636:Emergency Service, Hospital; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D011187:Posture; D012189:Retrospective Studies; D016683:Supine Position; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000628:therapy*