Dr Parimal Gharia(@DrParimalGharia) 's Twitter Profileg
Dr Parimal Gharia

@DrParimalGharia

MBBS,MS,DNB (Urology) Enroluminal EndoUrology
#SuctionInRIRS
1) RIRS-MIST ( Manual Intra-scope Suction Technique)
2) Bendable Suction UAS

ID:902839740558217216

calendar_today30-08-2017 10:25:42

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Dr Parimal Gharia(@DrParimalGharia) 's Twitter Profile Photo

Live Operative Demonstration of -FANS at UROLITHOCON 2024 ( 2nd Annual Conference of Urolithiasis Section (Urolithiasis-USI ) of Urological Society of India 🇮🇳 .
19 x 13 mm Right Renal Calculi (1520 HU) could be completely cleared On Table.
Anil Elhence Anil Shrestha Shashi Kiran Pal Nitesh Kumar

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Dr Parimal Gharia(@DrParimalGharia) 's Twitter Profile Photo

Primary RIRS-FANS for Large Right Renal Calculi
Unedited video.
youtu.be/xzk1mo2oqIU
Key Highlights
🔹35 minutes Sheath Indwelling time in ureter
🔹Stone dusting till very end with TFL with intermittent use of continuous suction mechanism by side of scope with FANS
🔹Stone

Primary RIRS-FANS for Large Right Renal Calculi Unedited video. youtu.be/xzk1mo2oqIU Key Highlights 🔹35 minutes Sheath Indwelling time in ureter 🔹Stone dusting till very end with TFL with intermittent use of continuous suction mechanism by side of scope with FANS 🔹Stone
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Dr Parimal Gharia(@DrParimalGharia) 's Twitter Profile Photo

Though I agree about trouble shooting intraoperatively.
I am just worried about the Laser (as shown by Abhay Mahajan )or Bipolar energy ( as shown by Mohamed_omar ) weakening the wall of vessel producing psuedo aneurysm of vessel which may trouble as later.
May be

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🔹Left RIRS-FANS done
🔹Whole PCS was full of matrix material
🔹Matrix was lased and fragmented and removed with suction
🔹Stone fragmented with TFL
🔹On table Complete Clearance
Olivier Traxer Saeed Bin Hamri Prof Bhaskar Somani Kemal Sarıca DrG
Nitesh Kumar Dr. Kandarp Parikh Hidayath khan

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Thank you Amelia Pietropaolo recognising the Manual Intrascope Suction during excellent Endourology Academy webinar.
Intrascope Suction has primary goal of
1) Decreasing IRP
2) Improving vision
3) Decreasing Intrarenal temparature
Advantage is universal application for all RIRS

Thank you @ameliapietr1 recognising the Manual Intrascope Suction during excellent @endouroacademy webinar. Intrascope Suction has primary goal of 1) Decreasing IRP 2) Improving vision 3) Decreasing Intrarenal temparature Advantage is universal application for all RIRS
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