title: [Tract sealing techniques in percutaneous nephrolitholapaxy].
abstract: Since the introduction of the percutanous nephrolitholapaxy (PNL), the instruments as well as the technique have experienced a tremendous modification. The miniaturisation of the instruments has led to a decreased hospital stay, reduced analgetic use as well as an extension of the indication for PNL. A nephrostomy tube was normally inserted to prevent urinoma and to provoke renal haemostasis. In 1997, the necessity for the regular use of a nephrostomy tube was first questioned. In a prospective study, the nephrostomy tube was successfully omitted in 50 selected patients. Since then, increasingly, the nephrostomy tube is omitted. Alternatively, different haemostatic substances are used for renal tract closure. The necessity for the use of these agents is still unclear.
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum Frankfurt, Frankfurt am Main.
authors.forename: T
authors.initials: T
authors.lastname: Hüsch
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum Frankfurt, Frankfurt am Main.
authors.forename: M
authors.initials: M
authors.lastname: Reiter
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum Frankfurt, Frankfurt am Main.
authors.forename: E
authors.initials: E
authors.lastname: Steiner
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum Frankfurt, Frankfurt am Main.
authors.forename: R
authors.initials: R
authors.lastname: Mager
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum Frankfurt, Frankfurt am Main.
authors.forename: A
authors.initials: A
authors.lastname: Haferkamp
authors.affiliation: Klinik für Urologie und Kinderurologie, Universitätsklinikum Frankfurt, Frankfurt am Main.
authors.forename: D
authors.initials: D
authors.lastname: Schilling
mesh_terms: D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006490:Hemostatics / Q000008:administration & dosage; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D008904:Miniaturization; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation* / Q000379:methods*
chemical_list: D006490:Hemostatics