超声引导下经皮肾镜取石术治疗补片修补的切口疝
Ultrasound Guided Percutaneous Nephrolithotomy in Mesh-Repaired Incisional Hernia.
作者信息
Inanloo Seyed Hassan, Nikoobakht Mohammad Reza, Akhavizadegan Hamed, Karbakhsh Mojgan
机构信息
Department of Urology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Medicine, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Adv Urol. 2021 Nov 28;2021:1537840. doi: 10.1155/2021/1537840. eCollection 2021.
OBJECTIVES
To describe our technique of percutaneous nephrolithotomy (PNL) in patients with mesh-repaired flank incisional hernia. Polypropylene mesh which is used for fascia strengthening in hernia repair elicits intense inflammatory reaction and the consequent fibrosis alters the characteristics of abdominal wall. Thus, prior history of flank hernia repair with mesh may result in percutaneous nephrolithotomy failure.
MATERIALS AND METHODS
Demographic data, renal stones characteristics, and any complication during surgery and follow-up of patients who were treated by PNL during 2011 to 2020 and had mesh in their flank region were collected.
RESULTS
Percutaneous nephrolithotomy was performed without any problem in 8 patients with guide of ultrasonography.
CONCLUSION
Based on our experience, ultrasound-guided PNL is feasible and hypothetically superior to fluoroscopy in such circumstances.
目的
描述我们对接受过网状物修补侧腹壁切口疝患者进行经皮肾镜取石术（PNL）的技术。用于疝修补术中加强筋膜的聚丙烯网状物会引发强烈的炎症反应，随之而来的纤维化会改变腹壁的特性。因此，既往有网状物修补侧腹壁疝的病史可能导致经皮肾镜取石术失败。
材料与方法
收集2011年至2020年期间接受经皮肾镜取石术且侧腹壁区域有网状物的患者的人口统计学数据、肾结石特征以及手术和随访期间的任何并发症。
结果
8例患者在超声引导下顺利进行了经皮肾镜取石术。
结论
根据我们的经验，在这种情况下，超声引导下的经皮肾镜取石术是可行的，并且理论上优于荧光镜检查。
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