Percutaneous nephrolothotomy: the easy puncture

Correct puncture of the tip of the chosen calyx is a prerequisite for proper ppercutaneous surgery. Bidimensionnal X-Ray is undoubtedly the best equipment but very few institutions can afford it. In fact,a simple C-Arm poortable X-Ray unit is quite sufficient for proper needle guidance : With a patient in the prone position,and a ureteral catheter inserted,a vertical beam gives very good information on calyx geography. However,when the needle is super-imposed to the calyx on the screen if the needle in not in the calyx,it can be either too deep or too superficial. Instead of using a horizontal beam,very difficult to read we advocate to rotate the beam 30 degrees towards the head of the patient : the image of needle and callyx will be modified in the following fashion : the needle in displaced towards the renal lower pole if the needle in too superficial,and towards the renal upper pole if the needle in too deep.                     Origine         FILMED 1987 - 91 5204 109                       Générique         FILMED : 91 5204 109

Disciplines : Sciences médicales. Médecine
Mots-clés : nephrolothotomy,Percutaneous,puncture
Type de document : image en mouvement
Type de ressource : lecture
Niveau : higher education
Auteurs ou éditeurs : R.-O FOURCADE