[Minimally invasive percutaneous nephrolitholapaxy (MIP)].

Der Urologe. Ausg. A
Udo NageleArnulf Stenzl

Abstract

Minimally invasive percutaneous nephrolithopaxy (MIP) was developed to combine the excellent stone-free rates of the conventional percutaneous nephrolithopaxy (PCNL) technique with the low morbidity of the miniaturized PCNL (Mini-Perc) and, at the same time, achieve a high level of patient comfort. The procedure is characterized not only by the diameter of the miniaturized 18-Fr Amplatz sheath that was adopted from the Mini-Perc but also by the following features: ultrasound-guided puncture of the kidney; single-step dilatation of the access tract; ballistic lithotripsy; a low-pressure irrigation system together with stone retraction by irrigation with a specially designed nephroscope sheath, for the so-called vacuum cleaner effect; and a sealed and tubeless access tract with primary closure of the channel independent of hemorrhage and without a second-look procedure.The results of the first 57 patients demonstrate primary stone-free rates of 92.9% with operating times averaging 62 (25-123) min. Severe complications, such as sepsis or bleeding requiring blood transfusion, did not occur. The high and predictable stone-free rate and a low morbidity comparable to that of ureteroscopy and extracorporeal shock-wave lithotripsy make ...Continue Reading

References

Dec 1, 1984·British Journal of Urology·J E WickhamS R Payne
Jan 1, 1997·World Journal of Urology·T EsenP Alken
Nov 24, 1999·The Journal of Urology·M Grasso, M Ficazzola
May 15, 2004·BJU International·J W CollinsA Timoney
Jan 22, 2005·Journal of Endourology·Rajesh KukrejaMahesh Desai
Jun 7, 2006·The Journal of Urology·Manoj MongaJaime Landman
Nov 11, 2006·European Urology·Maurice Stephan MichelJens Jochen Rassweiler
Jun 5, 2008·Der Urologe. Ausg. A·U NageleA Stenzl

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Citations

Jun 15, 2011·Journal of Endourology·Stephan KruckUdo Nagele
Apr 3, 2015·World Journal of Urology·André P NicklasUNKNOWN Training and Research in Urological Surgery and Technology (T.R.U.S.T.)-Group
Apr 17, 2016·Urolithiasis·W KamalE Liatsikos
Jul 16, 2011·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Florian ImkampThomas R W Herrmann
May 11, 2019·World Journal of Urology·Marie-Claire Rassweiler-SeyfriedJ T Klein
Dec 16, 2017·Urolithiasis·Sven Lahme
Jul 22, 2021·Archivio italiano di urologia, andrologia : organo ufficiale [di] Società italiana di ecografia urologica e nefrologica·Stefano Paolo ZanettiEmanuele Montanari

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