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Supine Percutaneous Nephrolithotomy and ECIRS - The New Way of Interpreting PNL (Paperback, Softcover reprint of the original 1st ed. 2014)
Loot Price: R3,918
Discovery Miles 39 180
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Supine Percutaneous Nephrolithotomy and ECIRS - The New Way of Interpreting PNL (Paperback, Softcover reprint of the original 1st ed. 2014)
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PNL is the gold standard for the management of large and/or
otherwise complex renal stones. Since its introduction in the
seventies PNL has undergone considerable evolution, mainly driven
by the improvement in access techniques, endoscopic instrument
technology, lithotripsy devices and drainage management. The
conventional prone position for PNL has been challenged in the last
two decades by a variety of modifications, including the supine and
Galdakao-modified supine Valdivia positions, which make
simultaneous retrograde working access to the collecting system
possible and have proven anesthesiological advantages. The
Galdakao-modified supine Valdivia position allowed the development
of ECIRS (Endoscopic Combined IntraRenal Surgery), a technique
exploiting a combined antegrade and retrograde approach to the
upper urinary tract, using both rigid and flexible endoscopes with
the related accessories. The synergistic teamwork of ECIRS provides
a safe and efficient, minimally-invasive procedure for the
treatment of all kinds of urolithiasis. The aim of this book is to
share with the urologic community worldwide our experience, our
standardization of all the steps, and tips and tricks for the
procedure.
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