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PCN (Percutaneous Nephrostomy) Surgery in Ludhiana (Punjab)

Find the best treatment and PCN (Percutaneous Nephrostomy) Surgery in Ludhiana at Aastha Kidney & Super Speciality Hospital, our experienced team of doctors and specialists provides PCN (Percutaneous Nephrostomy) Mini-invasive Surgery, Diagnosis and Treatment at an affordable cost in Punjab.

Find the best treatment and PCN (Percutaneous Nephrostomy) Surgery in Ludhiana at Aastha Kidney & Super Speciality Hospital, our experienced team of doctors and specialists provides PCN (Percutaneous Nephrostomy) Mini-invasive Surgery, Diagnosis and Treatment at an affordable cost in Punjab.

PCN (percutaneous nephrostomy)

Percutaneous nephrostomy is a method by which radiological guidance ensures percutaneous access to the kidney. The access is also maintained through the use of a catheter.

Indications

Percutaneous nephrostomy is usually used for ineffective or complicated retrograde strategies. Includes clinical conditions: Obstruction of the urinary tract. Diversion of the urine (e.g. ureteric lesion as well as leakage of urine). Percutaneous procedures access (e.g. stone treatment; ureteric antegrade stenting). Checking for diagnosis (e.g. pyelography antegrade, an examination of Whitaker).

Contrasting of the Comprehensive contraindications

None normally

Relative contraindications

Diathesis with incorrect bleeding (abnormal indices of coagulation)
Patient uncooperative
Extreme respiratory problems
Severe hyperkalemia and/or metabolic acidosis has not been corrected
Urgent hemodialysis may correct metabolic disorder prior to the insertion of nephrostomy

Procedure of PCN

Assessment of pre-procedure

To confirm the procedure indication and evaluate renal anatomy, review all the images available and identify safe access pathways to the kidney
To determine the possibility of hemorrhage, review the overall blood count and coagulation profile
Get informed procedural consent
Get good access to IV peripheral
If required, administration of IV broad-spectrum antibiotics 1-4 hours before the procedure; sometimes even, parenteral antibiotics in septic patients

Placement

Depending on the clinical circumstances and patient comfort, the procedure is performed in a prone, inclined, or lateral position. During the procedure, it is recommended that a properly trained specialist monitor vital signs. Clean skin with antiseptic solution and drape to keep the procedure sterile.

Equipments

Guidelines for ultrasound or fluoroscopy
7–9 French mist dilators
1 or 2 percent lidocaine local anesthesia
Water-soluble contrast media
A micropuncture set with a needle of 21 or 22 gages would serve as an option
The stiff guidewire of 0.035" (Micropuncture set also has a 0.018 guidewire)
8 French pigtail drain

Medications

Prophylactic antibiotics, chosen patients — the usage of antibiotics is usually 3rd generation of cephalosporin, not normal.
Fentanyl — not used routinely but can assist with collaborations with patients selected (e.g. meperidine).
Sedation — a short-acting benzodiazepine in selected patients may be used.

Technique

There are two common methods.

The selection of the technology depends on the operator and the patient. A two or three-part punching point needle, and a micropuncture set are used in one method.

The calyx is penetrated with an 18 inch, two-part needle under ultrasound direction by way of the aseptic procedure and subsequent penetration of local anesthesia agents. Urine drains freely from the needle in the event of a renal tract obstruction. To validate the right needle location with fluoroscopy, a limited volume of water-soluble contrast content may be inserted. The needle is replaced by a guidewire 0.035 and an 8 French pigtail drain is typically placed over the guidewire within the renal pelvic pelvis.

A catheter 6F or 12F on a case-by-case basis can be used. For microbiological studies, a urine sample can be sent to the lab. The catheter remains free to drain.

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Aastha Kidney Hospital

Aastha Kidney & Super Speciality Hospital, founded by Dr. Neena Gupta and Dr. Sanjeev Gupta, is a leading multi-speciality hospital in Ludhiana.