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Simplified coagulum pyelolithotomy using cryoprecipitate.

B H Broecker, R H Hackler

    Urology
    |August 1, 1979
    PubMed
    Summary
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    Coagulum pyelolithotomy effectively removes kidney stones when the renal pelvis is adequately sized. A specific cryoprecipitate, thrombin, and calcium chloride ratio achieved complete stone removal in most cases studied.

    Area of Science:

    • Urology
    • Nephrology
    • Surgical Innovation

    Background:

    • Coagulum pyelolithotomy is a technique for removing kidney stones (calyceal calculi).
    • Its success depends on adequate diameter of the renal pelvis and infundibulum.

    Purpose of the Study:

    • To evaluate the efficacy of a specific coagulum formulation for pyelolithotomy.
    • To determine the success rate of complete stone removal using this method.

    Main Methods:

    • A precise ratio of cryoprecipitate, thrombin, and calcium chloride (25:4:1) was used to create the coagulum.
    • The technique was applied in 7 consecutive cases of calyceal calculi.

    Main Results:

    • An effective coagulum was successfully generated in all 7 cases.

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  • Complete stone removal was achieved in 5 out of the 7 cases.

    • Conclusions:

    • Coagulum pyelolithotomy, using the specified ratio, is a viable option for calyceal calculi removal.
    • The technique shows promise for effective kidney stone management in select patients.