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Endothelialized Microfluidics for Studying Microvascular Interactions in Hematologic Diseases
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Microsheath for microperc: 14-gauge angiocath.

Necmettin Penbegul1, Mehmet Nuri Bodakci, Namik Kemal Hatipoglu

  • 1Department of Urology, Dicle University School of Medicine, Diyarbakir, Turkey. penbegul@yahoo.com

Journal of Endourology
|March 7, 2013
PubMed
Summary

Micropercutaneous nephrolithotomy (microperc) offers advanced kidney stone removal. This study introduces the smallest compatible Amplatz sheath for safer microperc procedures, particularly in young children.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Percutaneous nephrolithotomy (PCNL) is a standard kidney stone treatment.
  • Micropercutaneous nephrolithotomy (microperc) represents an advancement in PCNL technology.
  • Routine PCNL utilizes an Amplatz sheath to establish a surgical tract, which is absent in standard microperc.

Purpose of the Study:

  • To describe the smallest Amplatz sheath compatible with microperc instruments.
  • To address potential surgical complications arising from the absence of an Amplatz sheath in microperc.
  • To facilitate the use of microperc, especially in pediatric populations.

Main Methods:

  • Description of a novel, small-caliber Amplatz sheath (6.6F).
  • Assessment of the sheath's compatibility with microperc instrumentation.

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  • Application of the sheath in percutaneous surgery, focusing on preschool pediatric patients.
  • Main Results:

    • A 6.6F Amplatz sheath has been identified as compatible with microperc instruments.
    • This sheath provides a crucial tract, mitigating risks associated with sheathless procedures.
    • The described sheath is suitable for microperc in preschool pediatric patients.

    Conclusions:

    • The 6.6F Amplatz sheath is a valuable addition to microperc procedures.
    • Its use enhances safety and feasibility, particularly in pediatric kidney stone management.
    • This innovation supports the advancement of minimally invasive urological surgery.