CERTIFICATE

IMPACT FACTOR 2021

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Role of inversion therapy and diuretics during extracorporeal shockwave lithotripsy to improve clearance rate of lower Calyceal stones

Author: 
Prabu, P. K.
Subject Area: 
Health Sciences
Abstract: 

Objectives: To combine Trendenlenburg Positioning of Patient and Intra Procedural Forced Diuresis during Shock Wave Lithotripsy to improve stone clearance rate for Lower Calyceal Stones. To compare the results obtained with that of Standard Supine Shock Wave Lithotripsy for Lower Calyceal Stones. Methods: A prospective study was done in Institute of Urology, MMC, Chennai between February 2015 to February 2016. All patients presented with isolated lowerpole renal calculi of size between 7-20mm were registered. Total number of patients included are 132. Among them 33 patients refused to participate in the study and 14 patients who failed to follow up are excluded. All patients selected were allotted randomly in to two groups. Group A, comprising 62 patients who underwent ESWL with inversion therapy and intra-procedural diuresis Group B, comprising 56 patients, who underwent standard Supine ESWL and the data including number of sessions, success rate, and complications are all recorded and analysed. Results: Both groups were comparable in terms of Demography (age, sex) and in terms of Stone Characteristics. Based on number of sessions for ESWL, there is a significant increase in number of third session required in Group B, when compared to Group A. (P value 0.044) Regarding treatment success, both Stone Free Rate and Insignificant Residual Fragments are significantly higher in Group A, from first follow up itself, which increased steadily up to 12 weeks. (P value 0.04). Overall success rate achieved is 74.6%. And Treatment success rate achieved with the study group (Group A) is 82.3%, when compared to 66.1% achieved with the control group. There is a significant difference between the two groups in terms of treatment success. (p value 0.044) In both groups the average stone size and stone density as measured by stone attenuation value correlates significantly. Regarding complications there is no significant difference exists between the two Groups. Among the complications, colic is the most common, followed closely by LUTS and hematuria, then steinstrasse and fever in the order. Conclusion: Combination of Inversion with Intra Procedural Forced Diuresissignificantly improves the Stone Clearance Rate of Lower Calyceal Stones during Extra Corporeal Shock Wave lithotripsy. Though the results obtained are not as equivalent to that of Percutaneous Nephrolithotomy, ESWL with this combination of inversion with Forced Diuresis can be preferred for its specific advantages like Outpatient procedure, Non invasive intervention, No need for higher an aesthesia, No added cost and Can be repeated with least morbidity

PDF file: 

CALL FOR PAPERS

 

ONLINE PAYPAL PAYMENT

IJMCE RECOMMENDATION

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

 

EDITORIAL BOARD

CHUDE NKIRU PATRICIA
Nigeria
Dr. Swamy KRM
India
Dr. Abdul Hannan A.M.S
Saudi Arabia.
Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran