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Experimental and clinical applications and outcomes of using different forms of suction in retrograde intrarenal surgery. Results from a systematic review

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dc.contributor.authorTANIDIR, YILÖREN
dc.contributor.authorsGiulioni C., Castellani D., Traxer O., Gadzhiev N., Pirola G., TANIDIR Y., Da Silva R., Glover X., Giusti G., Proietti S., et al.
dc.date.accessioned2023-09-22T08:25:40Z
dc.date.available2023-09-22T08:25:40Z
dc.date.issued2023-01-01
dc.description.abstractObjective: To identify the latest advances in suction devices and evaluate their effect in Retrograde intrarenal surgery (RIRS) and ureteroscopy for stones. Basic procedures: A systematic literature search was performed on 4 th January 2023 using Scopus, PubMed, and EMBASE. Only English papers were included; both pediatric and adult studies were accepted. Duplicate studies, case reports, letters to the editor, and meeting abstracts were excluded. Main findings: Twenty-one papers were selected. Several methods have been proposed for suction use in RIRS, such as through the ureteral access sheath or directly to the scope. Artificial intelligence can also regulate this system, monitoring pressure and perfusion flow values. All the proposed techniques showed satisfactory perioperative results for operative time, stone-free rate (SFR), and residual fragments. Moreover, the reduction of intrarenal pressure (induced by aspiration) was also associated with a lower infection rate. Even the studies that considered kidney stones with a diameter of 20 mm or higher reported higher SFR and reduced postoperative complications. However, the lack of well-defined settings for suction pressure and fluid flow prevents the standardization of the procedure. Conclusion: Aspiration device in the surgical treatment of urinary stones favours a higher SFR, reducing infectious complications, as supported by the included studies. RIRS with a suction system provided to be a natural successor to the traditional technique, regulating intrarenal pressure and aspirating fine dust.
dc.identifier.citationGiulioni C., Castellani D., Traxer O., Gadzhiev N., Pirola G., TANIDIR Y., Da Silva R., Glover X., Giusti G., Proietti S., et al., "Experimental and clinical applications and outcomes of using different forms of suction in retrograde intrarenal surgery. Results from a systematic review Aplicaciones clínicas, experimentales y resultados del uso de diferentes dispositivos de aspiración en la cirugía intrarrenal retrógrada. Revisión sistemática", Actas Urologicas Espanolas, 2023
dc.identifier.doi10.1016/j.acuro.2023.02.008
dc.identifier.issn0210-4806
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85163104434&origin=inward
dc.identifier.urihttps://hdl.handle.net/11424/293614
dc.language.isoeng
dc.relation.ispartofActas Urologicas Espanolas
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectİç Hastalıkları
dc.subjectNefroloji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectInternal Diseases
dc.subjectNephrology
dc.subjectHealth Sciences
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectÜROLOJİ VE NEFROLOJİ
dc.subjectClinical Medicine (MED)
dc.subjectCLINICAL MEDICINE
dc.subjectUROLOGY & NEPHROLOGY
dc.subjectÜroloji
dc.subjectUrology
dc.subjectInfectious complication
dc.subjectRetrograde intrarenal surgery
dc.subjectStone-free rate
dc.subjectSuction device
dc.titleExperimental and clinical applications and outcomes of using different forms of suction in retrograde intrarenal surgery. Results from a systematic review
dc.title.alternativeAplicaciones clínicas, experimentales y resultados del uso de diferentes dispositivos de aspiración en la cirugía intrarrenal retrógrada. Revisión sistemática
dc.typearticle
dspace.entity.typePublication
local.avesis.id5ce5848a-7aab-4dd1-aa8c-e613b69dc206
local.indexed.atSCOPUS
relation.isAuthorOfPublication86c61091-4762-401c-a1cd-88bb0ea5d84d
relation.isAuthorOfPublication.latestForDiscovery86c61091-4762-401c-a1cd-88bb0ea5d84d

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