Supine percutaneous nephrolithotomy post operative hospital stay assessment

Background: Since it was first used in 1976, percutaneous nephrolithotomy (PCNL) has become the industry standard treatment for significant renal calculi. Initially, as mentioned sixty years ago, only the prone position was used for percutaneous access to the kidney. Valdivia provided the first account of supine positioning in PCNL. Both positions have since been adopted by PCNL. To enhance the surgical results, modifications to the initial supine position were created. The advantages of each supine position were discussed for five different supine postures (full supine, Valdivia, Galdakao-modified Valdivia, Barts-modified Valdivia, and Barts flank-free modified supine positions). In this study, we evaluated the results of supine PCNL surgery.

Methods: All patients were evaluated at baseline to complete diagnosis of renal stones, evaluation of previous line of management if present, confirm indication for surgery and fitness for surgical procedure, where patients selected for operative procedure had been counseled and written consent is obtained for the surgical procedure, then admitted patients will be assigned to certain hospital admission number.

Results: This study was conducted on 53 patients (31male & 22 female), age range 18 to 65 years old. there were 58.5% of the studied cases were males and 41.5% were females. The mean age was 36.09 ± 12.14 SD with range (18.0 – 65.0). There were 13.2% of the studied cases had Co-morbidities and 86.8% had no Co-morbidities. The current study showed that mean hospital stay was 2.23 ± 0.64 SD with range (2.0 – 5.0).