A STUDY ON POST OPERATIVE COMPLICATIONS FOLLOWING PERCUTANEOUS NEPHROLITHOTOMY

Dr. DURGA PRASAD; Dr. G.V. CHARAN KUMAR; Dr. RAHUL DEVARAJ; Dr. RAM REDDY

Volume : VIII, Issue : XI, November - 2019

A STUDY ON POST OPERATIVE COMPLICATIONS FOLLOWING PERCUTANEOUS NEPHROLITHOTOMY

Dr. Durga Prasad, Dr. G. V. Charan Kumar, Dr. Rahul Devaraj, Dr. Ram Reddy

Abstract :

Aims and objectives : To analyze the complications following percutaneous nephrolithotomy (PCNL) and to assess factors responsible for these complications. PATIENTS AND METHODS: It is a retrospective study done at Department of Urology, Nizams Institute of Medical Sciences, Hyderabad. Patients who underwent PCNL between September 2016 and April 2018 were included in the study. RESULTS: Of 250 patients who underwent PCNL during study period , 51(20.4%) developed features of systemic inflammatory response syndrome, 4 patients developed haemorrhage, 2 patients had pleural injury and 2 patients had colonic injury in the postoperative period. DISCUSSION and CONCLUSION: Statistical analysis showed significant association between stone size, number of calculi, pyelocaliectasis, number of access tracts, intra operative bleeding, intra operative time and post–operative blood transfusion for development of fever or SIRS. Diabetes mellitus, gender distribution, bladder urine culture showing growth, pelvic urine culture showing growth and stone culture showing growth are not significant predictors for development of SIRS.