by dr. janak desai (m.s., m.ch.) dr. ronak solanki (m.s.) samved hospital ahmedabad, india
TRANSCRIPT
ULTRA-MINI PCNL (UMP)
BYDR. JANAK DESAI (M.S., M.Ch.)
DR. RONAK SOLANKI (M.S.)
SAMVED HOSPITAL AHMEDABAD, INDIA
UMP BASIC EQUIPMENTS
INITIAL PUNCTURE AND DILATATION
UMP ACCESS SHEATH
UMP ACCESS SHEATH
Channel for Water jet
UMP OBTURATOR
Grooved Obturator
UMP ENDOSCOPE WITH SHEATH
Channel for Laser
Irrigation Channel
ENDOSCOPE INSERTION
BLOOD CLOTS REMOVAL WITH 3FR UMP FORCEPS
POSITION OF LASER FIBER
LASER FIBER
(200 Micron)
DISINTEGRATION OF STONE
SPECIALLY DESIGNED SHORTPROBE FOR LITHOCLAST
SPECIALLY DESIGN SHORT PROBE FOR LITHOCLAST
EFFECTS OF WATER JET
WATER JET CHANNEL
OUTLET OF WATER JET CHANNEL
WATER JET
EXTRACTION OF FRAGMENTS USING WATER JET
EXTRACTION OF FRAGMENTS USING LOW SUCTION
EXTRACTED STONE FRAGMENTS
SIZE OF STONE FRAGMENTS
NO NEPHROSTOMYNO DJ STENT
NO NEPHROSTOMYNO DJ STENT
4mm Puncture with No Bleeding
Minimal Parenchymal Damage. Minimal Bleeding. 24-Hours or Less Hospitalization. Very Less Usage of Analgesics. No Double – J Stenting. Stone Clearance Rate Very High (In our
series better than RIRS). Good for Paediatric as well as Adult
patients. No Nephrostomy.
ADVANTAGES
Instrumentation not possible. Clot removal difficult. Time Consuming.
DISADVANTAGES
We believe UMP is one more armamentarium for Kidney Stone removal.
NEW TECHNIQUE ON THE HORIZON
Thank you