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Best Percutaneous Nephrolithotomy Procedure in Hyderabad

Percutaneous nephrolithotomy (PCNL) is a minimally invasive surgical procedure for the removal of kidney stones. It is an advanced technique that involves the insertion of a small instrument through a tiny incision in the skin and into the kidney to remove the stone.

Here are the stepwise details of the Percutaneous Nephrolithotomy (PCNL) procedure:
  1. Pre-operative evaluation: Before undergoing PCNL, a thorough evaluation is conducted to determine the size, location, and number of stones. A patient’s medical history, medication use, allergies, and co-existing medical conditions are also considered.
  2. Anesthesia: The patient is placed under general anesthesia or regional anesthesia to prevent pain during the procedure.
  3. Access: The surgeon makes a small incision in the skin and inserts a needle into the kidney. A guide wire is then passed through the needle, and the needle is removed. A small tract is then created using a series of dilators to allow access to the kidney.
  4. Imaging: Imaging tests, such as X-rays or ultrasound, are used to guide the placement of the instruments into the kidney.
  5. Stone removal: Once the instruments are in place, a laser is used to break up the stone into smaller pieces. The fragments are then removed using a suction device or forceps.
  6. Drainage: A small tube (nephrostomy tube) may be placed in the kidney to allow drainage of urine and blood. The tube is usually removed a few days after the procedure.
  7. Closure: The incision is closed using sutures or sterile strips.
  8. Post-operative care: The patient is monitored in the hospital for a few days after the procedure. Pain medication, antibiotics, and fluids are given to manage pain and prevent infection. Follow-up imaging tests may be ordered to ensure that all stones have been removed.

PCNL is a highly effective and safe procedure for the removal of kidney stones. However, like any surgical procedure, it has some risks, including bleeding, infection, and damage to surrounding tissues. It is important to discuss the benefits and risks of PCNL with specialist doctors in TX hospital Hyderabad before undergoing the procedure.