Mini PCNL with suction system
COURSE DESCRIPTION
Dr Joseph Michael Abogdo Ursua demonstrates how to perform a Mini PCNL using a suction sheath. He performs PCNL in a patient with a staghorn calculus. Dr. Joseph demonstrates he performs punctures and dilates track. He uses a semi-rigid ureteroscope as a nephroscope to perform PCNL.
No laser was used for stone fragmentation, instead, a conventional pneumatic lithoclast was used for lithotripsy, and fragments were evacuated using the suction sheath.
LEARNING OUTCOMES
PCNL is a common surgery performed for stones larger than 20 mm. Often urologists don't have all the advanced types of equipment for executing the surgery. Dr. Joseph demonstrates a mini-PCNL surgery where he used a semi-rigid ureteroscope to enter into the pelvicalyceal system from the mini-PCNL tract in the antegrade path. He used conventional pneumatic lithoclast instead of a laser for stone fragmentation and these fragments are successfully evacuated using the suction system.
| Lesson1.1 | Disclaimer | |
| Lesson1.2 | Introduction | |
| Lesson1.3 | Patient details | |
| Lesson1.4 | Instrument details | |
| Lesson1.5 | Initial Cystoscopy | |
| Lesson1.6 | Regtrograde pyelogram | |
| Lesson1.7 | Patient positioning | |
| Lesson1.8 | Renal puncture | |
| Lesson1.9 | Tract dilatation | |
| Lesson1.10 | Nephroscopy | |
| Lesson1.11 | Aspirating the matrix stone. | |
| Lesson1.12 | Intracorporeal Lithotripsy | |
| Lesson1.13 | Stone clearance | |
| Lesson1.14 | Antegrade JJ stening | |
| Lesson1.15 | Nephrostomy placement. |
Instructor
Dr Joseph Michael Abogado Ursua
Dr. Joseph Michael Abogdo Ursua is Chief of Endourology at East Avenue Medical center in Manila, Philippines and Head of the training section of urology at Rizal Medical Center.
Dr Joseph has special inclination towards urolithiasis and endourological training.
He received his special training Fellowship in Urolithiasis and Endourology at First Affiliated Hospital of Guangzhou Medical University, China.