by dr. janak desai (m.s., m.ch.) dr. ronak solanki (m.s.) samved hospital ahmedabad, india
TRANSCRIPT
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ULTRA-MINI PCNL (UMP)
BYDR. JANAK DESAI (M.S., M.Ch.)
DR. RONAK SOLANKI (M.S.)
SAMVED HOSPITAL AHMEDABAD, INDIA
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UMP BASIC EQUIPMENTS
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INITIAL PUNCTURE AND DILATATION
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UMP ACCESS SHEATH
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UMP ACCESS SHEATH
Channel for Water jet
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UMP OBTURATOR
Grooved Obturator
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UMP ENDOSCOPE WITH SHEATH
Channel for Laser
Irrigation Channel
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ENDOSCOPE INSERTION
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BLOOD CLOTS REMOVAL WITH 3FR UMP FORCEPS
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POSITION OF LASER FIBER
LASER FIBER
(200 Micron)
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DISINTEGRATION OF STONE
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SPECIALLY DESIGNED SHORTPROBE FOR LITHOCLAST
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SPECIALLY DESIGN SHORT PROBE FOR LITHOCLAST
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EFFECTS OF WATER JET
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WATER JET CHANNEL
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OUTLET OF WATER JET CHANNEL
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WATER JET
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EXTRACTION OF FRAGMENTS USING WATER JET
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EXTRACTION OF FRAGMENTS USING LOW SUCTION
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EXTRACTED STONE FRAGMENTS
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SIZE OF STONE FRAGMENTS
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NO NEPHROSTOMYNO DJ STENT
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NO NEPHROSTOMYNO DJ STENT
4mm Puncture with No Bleeding
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Minimal Parenchymal Damage. Minimal Bleeding. 24-Hours or Less Hospitalization. Very Less Usage of Analgesics. No Double – J Stenting. Stone Clearance Rate Very High (In our
series better than RIRS). Good for Paediatric as well as Adult
patients. No Nephrostomy.
ADVANTAGES
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Instrumentation not possible. Clot removal difficult. Time Consuming.
DISADVANTAGES
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We believe UMP is one more armamentarium for Kidney Stone removal.
NEW TECHNIQUE ON THE HORIZON
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Thank you