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  • PCN

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    Azirah Tawang
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    Percutaneous nephrolithotomy (PCN) is a surgical procedure to remove kidney stones. During PCN, a surgeon makes a small incision in the patient's back and inserts a thin tube called a nephroscope directly into the kidney. Smaller stones may be removed manually while larger ones are broken up using ultrasonic waves or lasers passed through the nephroscope. A drainage tube may also be placed in the kidney to drain urine and prevent infection during recovery. Ultrasound or x-ray guidance is used to guide placement of the nephroscope and drainage tube.

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    percutaneous nephrostomy

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    pcn

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    Percutaneous nephrolithotomy (PCN) is a surgical procedure to remove kidney stones. During PCN, a surgeon makes a small incision in the patient's back and inserts a thin tube called a nephroscope directly into the kidney. Smaller stones may be removed manually while larger ones are broken up using ultrasonic waves or lasers passed through the nephroscope. A drainage tube may also be placed in the kidney to drain urine and prevent infection during recovery. Ultrasound or x-ray guidance is used to guide placement of the nephroscope and drainage tube.

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    67 views3 pages

    PCN

    Uploaded by

    Azirah Tawang
    Percutaneous nephrolithotomy (PCN) is a surgical procedure to remove kidney stones. During PCN, a surgeon makes a small incision in the patient's back and inserts a thin tube called a nephroscope directly into the kidney. Smaller stones may be removed manually while larger ones are broken up using ultrasonic waves or lasers passed through the nephroscope. A drainage tube may also be placed in the kidney to drain urine and prevent infection during recovery. Ultrasound or x-ray guidance is used to guide placement of the nephroscope and drainage tube.

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    © All Rights Reserved
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    of 3

    Percutaneous Nephrolithotomy

     ‘through the skin’


     In PCN, the surgeon or urologist makes a 1cm incision under local anesthesia
    in the patient’s back, through which an instrument called a nephroscope is
    passed directly into the kidney and, if necessary, the ureter. Smaller stones
    may be manually extracted.
     A tube may be inserted into the kidney for drainage.
     A nephrostomy catheter is placed if your doctor cannot bypass (go around)
    the blockage or if your ureter has been injured. It passes through your skin
    and into your renal pelvis. The other end of the catheter will extend from your
    body. It will be attached to an external drainage bag strapped to your leg.
     A nephrostomy is an opening between the kidney and the skin. A
    nephrostomy tube is a thin plastic tube that is passed from the back,
    through the skin and then through the kidney, to the point where the
    urine collects. Its job is to temporarily drain the urine that is blocked.
    This allows the kidney to function properly and protects it from further
    damage. It also helps clear any infection.

     Ultrasound and/or X-ray images (or pictures) are used to guide the
    procedure. Contrast is injected into the part of the kidney that collects
    the urine. This enables the tube that will drain the kidney to be inserted
    into the collecting system in the best position.

     Urine akan dikeluarkan menggunakan catheter.


     Urine akan keluar bersama media kontras yang dimasukkan.
     Media kontras yang digunakan untuk prosedur PCN (HSNI) ialah Iopamero.

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