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Intrarenal foreign body after PCNL procedure: A rare complication
Ahmed Samet1, Mohamed Amine Mseddi1, Omar Kammoun1
1Urology Department, Academic Hospital Habib Bourguiba, Sfax, Tunisia.
Urology Case Reports
|January 4, 2021
Summary
Laser lithotripsy improves percutaneous nephrolithotomy (PCNL) outcomes but carries risks. A case of a severed guide wire during PCNL highlights potential complications.
Area of Science:
- Urology
- Endourology
- Surgical Technology
Background:
- Percutaneous nephrolithotomy (PCNL) is a standard procedure for kidney stone removal.
- Laser lithotripsy has become a common tool in PCNL, enhancing stone fragmentation.
- While effective, laser use in urology necessitates awareness of potential complications.
Observation:
- A guide wire was inadvertently severed during a PCNL procedure utilizing laser lithotripsy.
- This complication occurred despite adherence to standard surgical protocols.
Findings:
- The severed guide wire presents a unique challenge during endourological procedures.
- This incident underscores the importance of meticulous technique when employing laser energy.
Implications:
- Potential for novel complications associated with laser lithotripsy in PCNL.
- Need for enhanced safety protocols and surgeon awareness regarding laser-assisted PCNL.
- Further investigation into preventing guide wire damage during laser lithotripsy is warranted.
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