Today's supine PCNL
#urology #SupinePCNL

#supinepcnl #pcnl
Puncture and dilatation

Retained stent
Partially removed the stent- failed to place guide wire after puncturing , outer sheath of guidewire got entrapped outside the kidney -referred to us arun kumar

We did supinepcnl middle calyx puncture
Retrieved the stent
During exit-guidewire removed completely.

🎯 #supinepcnl

One of the few drawbacks of #SUPINEPCNL is the hyper mobility of the kidney that very rarely (very slim patients like this with BMI 19) renders tract’s dilation pretty challenging! The trick is to deliver some contra pressure with non dominant hand on patient’s abdomen to limit…

#supinepcnl

Video 👉youtu.be/CwKqK7oPdcY
Retro renal colon on ct in small child.
Failed RIRS outside. Stone migrated to lower calyx.
#SupinePCNL attempted.
Even after going 4 cm below post axillary line still colon was identing .
So went stil posterior got away safely.
Amer. Urol. Assn.…

Carm images
#supinepcnl

#supinepcnl

I am a prone #pcnl Endo urologist . But recently in a morbid obese patient where I genuinely felt an ideal case for supine #pcnl I thought I should go for it. So I did it 😊 Endourological Society #PCNL #supinepcnl #kidneystones

Multiple stones in the lower calyx with #pelviccalculus #supinepcnl is the best ☺️

#supinepcnl
#standardpcnl
#satghorncalculus
#hardstone
When stone is very hard >1600 HU
Keeping large amplatz will do the job
But puncture should be lateral

Today we could demonstrate 4 #RIRS , one #supinePCNL , AND one ThuFlep( 138 gms ) As part of 4 th saturday workshop, attended by 20 delegates.
Amer. Urol. Assn. European School of Urology (EAU ESU) Urological Society of India 🇮🇳

#urologyeducation #urologyacademics #Endourology #workshop #preetihospital

#bifidpelvis
#supinepcnl
#ECIRS
Case of partial staghorn calculus
Attempted supine pcnl and punctured lower calyx cleared
Lower lower moiety stone burden because previously it was stented did laser lithotripsy for upper pole stone

youtu.be/qgWb4xhtEr0
Perforation of peritonium in a child during #SupinePCNL . Not because of wrong puncture, not because of wrong dilatation, not during primary supine pcnl. But during relook #PCNL (ECIRS) for residual stones on post-op day 3, while threading the amplatz sheath…

#Pcnl #supinepcnl

#Pcnl
#supinepcnl

#supinepcnl #pcnl
Watching glide wire sliding into ureter gives immense happiness at that moment ,,💪

Excellent demonstrations of #SupinePCNL & #ECIRS during #Vista course Royal Free London in London. Throughly interactive in theatres session with our colleagues from South Africa and Dubai thanks to Cook Medical--MedSurg Division

#supinepcnl #pcnl #upperpole