This is an automatically translated article.
The article was professionally consulted by Doctor Department of General Surgery and Anesthesia, Vinmec Hai Phong International General Hospital.
The endoscopic method of laser renal lithotripsy using a flexible bronchoscope has the outstanding advantage of helping patients to be painless, leaving no scars due to completely natural surgery and short hospital stay. This is an advanced and technically demanding kidney stone treatment method, which can only be performed in large hospitals.
1. Subjects of application
Patients treated by endoscopic retrograde laser lithotripsy with a flexible bronchoscope need to ensure that the pyelonephritis has a size of 3 cm or less, alone, in combination, or many tablets. Residual kidney stones, recurrence after open surgery. Upper ureteral stones migrate in the kidney after retrograde endoscopic lithotripsy with rigid, semi-rigid tubes. Upper ureteral stones migrate into the kidney during retroperitoneal laparoscopic stone removal. Using a flexible bronchoscope in combination with percutaneous endoscopic lithotripsy (PCNL) is difficult to access or in the case of pyelonephritis combined with a soft bronchoscope to remove stones. High-grade ureteral stone is indicated for lithotripsy by one-stage flexible bronchoscope. Contraindications apply to patients with: Narrow ureters, bends, kidney malformations, ureters cannot be placed endoscopes. Renal calyx stones larger than 3 cm. Lower calyx with LIP angle < 30 degrees, IL > 3 cm and IW < 5 mm. Untreated urinary tract infection, hydronephrosis, loss of function. Contraindications to general anesthesia
2. Advantages
Flexible tubular lithotripsy is a modern, minimally invasive technique in the treatment of urinary tract stones. Soft tube lithotripsy is a technique performed by inserting a flexible bronchoscope through the urinary tract to the ureter - renal pelvis, into the renal calyces and scattering stones... This technique helps to preserve the maximum kidney function and helps Patients recover quickly, patients can be discharged after 1-2 days. With laparoscopic method with flexible bronchoscope, the patient will not have an incision - all operations are performed through the natural route.
3. Procedure for examination, endoscopic lithotripsy with flexible bronchoscope at Vinmec Hai Phong
The patient was intubated with a ureteral catheter (JJ) 10 to 15 days before lithotripsy.
General endotracheal anesthesia, the patient lies supine in the obstetric position. Cystoscopy to remove JJ, ureteroscopy - pyelonephritis to evaluate the ureters, guide wire pyelonephritis. Place Sheath 12 Fr in the ureter onto the pyelonephritis with a coaxial slide guide wire. Withdraw the guide wire, the Sheath's barrel, and the flexible endoscope through the Sheath to the pyelonephritis. Determine the location, number of stones, size and relation to the pyelonephritis. If the Sheath ureter can not be placed, narrow or flexed, direct endoscopic flexible tube placement is indicated. If not, switch to another treatment method. Dissolve kidney stones by Holmium Laser 80 W into small pieces. Pump to remove gravel, Nitinol basket to remove gravel. Check for gravel. Remove flexible bronchoscope, insert retrograde JJ, Foley urethra.
4. Manifestations after surgery
4.1. Normal expression
Patients almost have little pain, can walk, self-control personal hygiene in the first day after surgery. The hospital stay is only 1-2 days and very soon return to daily activities.
4.2. Abnormal expression
Post-operative patients with these symptoms need immediate re-examination.
Low back pain, spreading to the genitals. Blood pee. The kidney on the side of the lithotripsy is hydrophilic.
5. Why should we perform retrograde endoscopic laser lithotripsy with a flexible bronchoscope at Vinmec Hai Phong?
Vinmec International General Hospital in Hai Phong has a team of highly qualified, skilled and experienced doctors, especially in the field of endoscopy. System of advanced and modern medical equipment for high treatment efficiency. Modern imaging system, Karl storz endoscopy system, 30w, 100w Sphinx laser diffusers bring the highest treatment efficiency. The system of operating rooms and prevention rooms is strictly controlled by infections, and patients usually only need to take 1 dose of prophylactic antibiotics. Professional service with civilized and modern wards, one room per patient and comprehensive monitoring of health parameters, well-confidential patient information. Surgical customers at the Department of Surgery, Vinmec Hai Phong Hospital enjoy outstanding benefits including:
Short hospital stay, minimizing the cost of stay, reducing the risk of hospital infections. With cases of lithotripsy, inguinal hernia, customers can always go to work 1 day after discharge from the hospital. Limit the use of antibiotics, reduce the risk of side effects, save costs, patients do not have to worry and fear when administering antibiotics and monitoring after taking the drug. The recovery rate reached 90%, re-hospitalization 0%, postoperative infection 0%. The Early Post-Surgery Care Program provides comprehensive care to patients before, during and after surgery, helping to reduce hospital stay, improve treatment quality and reduce costs; reduce the rate of complications. ERAS has been shown to shorten the average length of stay from 8-10 days to 3-4 days. Insurance : Vinmec signed with many large private insurance partners. When customers are hospitalized, they are guaranteed and compensated at the hospital. Save a lot of customer's time and effort. Other advantages : Modern equipment; Service quality according to international standards; Highly qualified doctor; Patients do not need relatives to take care of them because they are cared for by a dedicated and attentive nursing doctor...
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