Nýrnasteintökur um húð
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open In the years 1985 to 1993, 92 patients, 61 men and 31 women, went to PCNL for stone removal at the Urology Department in the Reykjavik City Hospital, total 112 procedures. It was almost every patient who...
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Format: | Article in Journal/Newspaper |
Language: | Icelandic |
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Læknafélag Íslands, Læknafélag Reykjavíkur
2009
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Online Access: | http://hdl.handle.net/2336/67533 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/67533 2023-05-15T16:53:01+02:00 Nýrnasteintökur um húð Percutaneous nephrolithotomy (PCNL) in Reykjavik City Hospital 1985-1993 Geir Ólafsson 2009-05-07 http://hdl.handle.net/2336/67533 is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 1995, 81(12):850-55 0023-7213 http://hdl.handle.net/2336/67533 Læknablaðið Nýrnasteinar Vísindasaga Þvagfærasjúkdómar Nephrostomy Percutaneous Iceland Kidney Calculi Article 2009 ftlandspitaliuni 2022-05-29T08:21:20Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open In the years 1985 to 1993, 92 patients, 61 men and 31 women, went to PCNL for stone removal at the Urology Department in the Reykjavik City Hospital, total 112 procedures. It was almost every patient who needed surgery for stone in the upper urinary tract. Most of the patients went home from the hospital in good health two or three days after the operation. Operation on the left kidney was more common (59%) than on the right one (41%). The stone size was 4-40 mm in diameter, mean 12 mm. In 70% of the operations there was one stone, but in 10% there were four stones or more. The procedure was done in two stages in 64% but in one stage in 36%. Stones in the upper ureter (26%) were first manipulated up into the renal pelvis. In 82% of the operations we did not have to disintegrate the stones but in 18% we used ultrasound or electrohydrolic-waves to do so. 87% of the patients needed only one operation. The results were that 87.5% of the patients were stonefree or had stonerests 4 mm or less after one procedure. Thirteen patients were taken more than once to PCNL, five of them got rid of their stones after repeated operations. Thus 90.2% of the 92 patients were managed successfully, that is stone-free or had stonerests smaller than 4 mm. No serious complications were noted. The most common complication was leakage of contrast media as a sign of perforation of the renal pelvis in 29 procedures. It always held without further complication within a few days with a nephrostomy. Gerð er örstutt grein fyrir sögulegri þróun aðgerða við nýrnasteinum allt til okkar daga. Skoðaðir voru allir sjúklingar sem gengust undir steintöku um húð (percutaneous nephrolithotomy, PCNL) á Borgarspítalanum á árunum 1985-1993. Aðferðinni er lýst og rætt um notagildi hliðstæðrar tækni viö aðra sjúkdóma. Níutíu og tveir sjúklingar fóru í samtals 112 nýrnasteinatökur um húð. Árangur varð sá að í 87,5% tilvika losnuðu sjúklingar við steina eða ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Nýrnasteinar Vísindasaga Þvagfærasjúkdómar Nephrostomy Percutaneous Iceland Kidney Calculi |
spellingShingle |
Nýrnasteinar Vísindasaga Þvagfærasjúkdómar Nephrostomy Percutaneous Iceland Kidney Calculi Geir Ólafsson Nýrnasteintökur um húð |
topic_facet |
Nýrnasteinar Vísindasaga Þvagfærasjúkdómar Nephrostomy Percutaneous Iceland Kidney Calculi |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open In the years 1985 to 1993, 92 patients, 61 men and 31 women, went to PCNL for stone removal at the Urology Department in the Reykjavik City Hospital, total 112 procedures. It was almost every patient who needed surgery for stone in the upper urinary tract. Most of the patients went home from the hospital in good health two or three days after the operation. Operation on the left kidney was more common (59%) than on the right one (41%). The stone size was 4-40 mm in diameter, mean 12 mm. In 70% of the operations there was one stone, but in 10% there were four stones or more. The procedure was done in two stages in 64% but in one stage in 36%. Stones in the upper ureter (26%) were first manipulated up into the renal pelvis. In 82% of the operations we did not have to disintegrate the stones but in 18% we used ultrasound or electrohydrolic-waves to do so. 87% of the patients needed only one operation. The results were that 87.5% of the patients were stonefree or had stonerests 4 mm or less after one procedure. Thirteen patients were taken more than once to PCNL, five of them got rid of their stones after repeated operations. Thus 90.2% of the 92 patients were managed successfully, that is stone-free or had stonerests smaller than 4 mm. No serious complications were noted. The most common complication was leakage of contrast media as a sign of perforation of the renal pelvis in 29 procedures. It always held without further complication within a few days with a nephrostomy. Gerð er örstutt grein fyrir sögulegri þróun aðgerða við nýrnasteinum allt til okkar daga. Skoðaðir voru allir sjúklingar sem gengust undir steintöku um húð (percutaneous nephrolithotomy, PCNL) á Borgarspítalanum á árunum 1985-1993. Aðferðinni er lýst og rætt um notagildi hliðstæðrar tækni viö aðra sjúkdóma. Níutíu og tveir sjúklingar fóru í samtals 112 nýrnasteinatökur um húð. Árangur varð sá að í 87,5% tilvika losnuðu sjúklingar við steina eða ... |
format |
Article in Journal/Newspaper |
author |
Geir Ólafsson |
author_facet |
Geir Ólafsson |
author_sort |
Geir Ólafsson |
title |
Nýrnasteintökur um húð |
title_short |
Nýrnasteintökur um húð |
title_full |
Nýrnasteintökur um húð |
title_fullStr |
Nýrnasteintökur um húð |
title_full_unstemmed |
Nýrnasteintökur um húð |
title_sort |
nýrnasteintökur um húð |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2009 |
url |
http://hdl.handle.net/2336/67533 |
long_lat |
ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Smella |
geographic_facet |
Smella |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 1995, 81(12):850-55 0023-7213 http://hdl.handle.net/2336/67533 Læknablaðið |
_version_ |
1766043521999962112 |