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IRCT138707201323N1 IRCT 2009-12-20 Research manager, Yasuj University of Medical Sciences Comparison of efficacy and complications of PCNL under General and Spinal anesthesia Comparison of efficacy and complications of PCNL under General and Spinal anesthesia 2008-02-01 anticipated 1 Complete https://irct.ir/trial/570 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Renal and ureteral stones. Intervention 1: Performing PCNL under spinal anesthesia at the prone position. Intervention 2: Performing PCNL under general anesthesia at the prone position. Background: The aim of this study is Comparison of efficacy, complications and patient satisfaction from percutaneous nephrolithotomy (PCNL) in prone and supine position under spinal anesthesia.<br /> Materials and methods: In this clinical trial 60 patients candidate for PCNL after taking consent form ‚ randomly assigned in two groups. In group 1 PCNL was done in supine position under spinal anesthesia by standard method. In group 2 after changing patients to prone position PCNL was done as first group.<br /> <br /> <br /> In both groups after operation patients satisfaction from position during operation was checked by Beck scale. Two weeks later patients again visit and efficacy of operation checked by KUB and ultrasonography. All data records and analysed by SPSS software and statistical Tests.<br /> Results: Mean operative time was similar in the two groups (112±24.5 minute in supine and 109±19.7 minute in prone) (p=0.18)<br /> The mean hospital stay in supine position and prone position were 2.44±1.02 and 2.12 ±0.56 days respectively (p>0.05). The patient’s satisfaction was more from operation in supine position (89.7 %in supine and 61.4 in prone position (P=0.018).<br /> There was no significant differences between the supine and prone position in complications (p=0.3). Considering efficacy and success of operation in supine and prone position it was 69% and 58.4% respectively (p=0.195).<br /> Conclusion: PCNL in supine position is a safe procedure and with similar performance compared to standard prone position for treatment of urolithiasis and patient 'satisfaction is more from this position although more studies with larger sample size are necessary<br /> Key word: percutaneous nephrolithotomy‚position‚efficacy‚complications<br />
public Dr Sadrollah Mehrabi
Yasuj University of Medical Sciences, Motahari street,
Yasuj Iran (Islamic Republic of) 7591741417 +98 74 1333 7228 mehrabi390@yahoo.com and dr mehrabiyums.ac.ir Yasuj university of medical science scientific Dr Sadrollah Mehrabi
Yasuj University of Medical Sciences, Motahari street,
Yasuj Iran (Islamic Republic of) 759741417 +98 74 1222 6517 mehrabi390@yahoo.com and dr mehrabiyums.ac.ir Yasuj University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: Age more than 18 years, presence of renal or upper ureteral stone, candidate for PCNL (multiple stones, staghorn stones, calyceal diverticule stones, stone which are resistant to ESWL, lower pole renal stone larger than >15 mm and other renal stone larger than 25 mm, upper ureteral stone >20mm, Having informed consent Exclusion criteria: Any contraindication for regional anesthesia, presence of coagulopathy, acute infection ore urosepsis, presence of acute renal failure 18 years no limit Both N20.2 Calculus of kidney with calculus of ureter Treatment - Surgery Treatment - Surgery Performing PCNL under spinal anesthesia at the prone position Performing PCNL under general anesthesia at the prone position Success rate of operation. Timepoint: during operation and two week later. Method of measurement: observation by nephroscope and fluroscopy during operation and with sonography and KUB two weeks later. Any complications of surgery. Timepoint: during operation to one week later. Method of measurement: report of patients and observation with examination of patients. Research manager, Yasuj University of Medical Sciences Approved 2008-02-09 Ethics committee of Yasuj University of Medical Sciences Imam Sajad hospital, Yasuj university of medical science, Yasuj Iran (Islamic Republic of)