National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com / submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Percutaneous nephrolithotomy (PCNL) is very common procedure carried out in today’s urological practice. Many of times supracostal approach is taken which can be cause of no. of complication. Routinely chest x ray is done after supracostal PCNL to detect any complication. We retrospectively studied whether this chest x ray is required or not. We retrospectively studied 347 PCNL carried out in our institute out of which 102 has supracostal approach. Symptoms and complains of patients were recorded in progress reports of patients. Chest x ray were also submitted with case files. These are studied again to find correlation between symptoms and chest x rays findings. All of 102 patients with supracostal approach undergone check chest x-rays in evening of surgery. Symptoms of patients also recorded. Seven patients had symptoms related to chest in form of difficulty in respiration, 3 patients complain of pain in lower chest, 5 patients have increased respiratory rate. Out of all 102 x rays only 2 patients have findings. one of them had hydro-pneumothorax and other one with pleural effusion. Both patients were managed well one with chest tube and other conservatively. Symptoms were correlating with chest x rays findings. It is not necessary to do routine chest x ray after supra costal PCNL rather investigating only symptomatic patients would be more rational approach.
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