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Management of Massive Hemorrhage after Percutaneous Nephrolithotomy: Angioembolization or Renorrhaphy

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dc.contributor.authorBALTACIOĞLU, FEYYAZ
dc.contributor.authorsTuncer, Murat; Faydaci, Gokhan; Eryildirim, Bilal; Camur, Emre; Tuncer, Elif O.; Baltacioglu, Feyyaz; Ozgul, Aydin; Sarica, Kemal
dc.date.accessioned2022-03-14T11:07:19Z
dc.date.available2022-03-14T11:07:19Z
dc.date.issued2015-12-05
dc.description.abstractObjective We present two treatment modalities, selective renal angioembolization and renorraphy, in massive renal hemorrage after percutaneous nephrolithotomy (PCNL) that could not be controlled by conservative methods. Materials and Methods One thousand two-hundred patients, who had undergone PCNL between January 2003 and February 2014, were retrospectively reviewed. From these cases, we selected patients with massive post procedural bleeding that could not be taken under control by conservative methods and we reviewed their clinical course and treatment results. Results Bleeding could not controlled by conservative methods in 6 patients and, angioembolization was done succesfully. In 3 patients, angioembolization was not available. Renorraphy was performed in 2 patients and nephrectomy in 1 patient at first attempt. Renorraphy could not solve the problem of massive hemorrage and these 2 patients eventually underwent nephrectomy. Conclusion Renal angiography and embolization is an effective and safe method and renorraphy should not be the first option in massive bleeding after PCNL that can not be taken under control by conservative methods.
dc.identifier.doi10.4274/jus.421
dc.identifier.issn2148-9580
dc.identifier.urihttps://hdl.handle.net/11424/245916
dc.identifier.wosWOS:000218675800002
dc.language.isoeng
dc.publisherGALENOS YAYINCILIK
dc.relation.ispartofJOURNAL OF UROLOGICAL SURGERY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPercutaneous nephrolithotomy
dc.subjectbleeding
dc.subjectembolization
dc.subjectrenorraphy
dc.titleManagement of Massive Hemorrhage after Percutaneous Nephrolithotomy: Angioembolization or Renorrhaphy
dc.typearticle
dspace.entity.typePublication
local.avesis.id44b6a289-3403-49cd-83b8-cef883f6b1d0
local.import.packageSS16
local.indexed.atWOS
local.journal.numberofpages5
oaire.citation.endPage178
oaire.citation.issue4
oaire.citation.startPage174
oaire.citation.titleJOURNAL OF UROLOGICAL SURGERY
oaire.citation.volume2
relation.isAuthorOfPublication14b6381a-4f6e-4ff9-92f6-842a481bc163
relation.isAuthorOfPublication.latestForDiscovery14b6381a-4f6e-4ff9-92f6-842a481bc163

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