Category Archives: kidney stone surgery
Kidney stone surgery: More women, more complications with …
DETROIT – While the number of people – especially women – who have a minimally invasive procedure to remove kidney stones has risen in recent years, so has the rate of complications related to the surgery, according to a published study by Henry Ford Hospital.
The research, from Khurshid R. Ghani, M.D., of Henry Ford Hospital’s Vattikuti Urology Institute, appears in the current issue of Journal of Urology.
The focus of the investigation was the procedure, percutaneous nephrolithotomy, or PCNL, in which a surgeon removes medium to large kidney stones through a small incision in the back using a hollow scope.
Minimally invasive procedures used for treating a wide range of medical conditions have increased in recent years, and the Henry Ford researchers set out to find how much and to what effect this is true for this specific procedure.
“What we found is that the use of PCNL in this country has increased,” Dr. Ghani said, “and more women than men have the procedure.
“We also discovered that while the rate of PCNL-related death is low and has remained so, incidence of blood infection and overall complications has increased.”
The population-based study looked at data from the Nationwide Inpatient Sample, a database of inpatient hospital stays used by researchers to find, track and analyze national health care trends. The database catalogs some 8 million cases from more than 1,000 hospitals in 44 states.
It was used in this study to identify patients who underwent PCNL between 1999 and 2009. A weighted sample was then formulated to estimate utilization rates across the country.
In addition, Henry Ford researchers tracked and analyzed trends in patient age; complications before, during and after the procedure; other disorders or diseases that existed at the time of the surgery; and in-hospital deaths.
A total of 80,097 patients over the age of 18 and with a median age of 53 were found to have undergone PCNL during the study period, during which the number of times the procedure was performed climbed by 47 percent.
The results showed:
- PCNL use rose from 3.0 to 3.63 per 100,000 men, and from 2.99 to 4.07 per 100,000 women during the study period. This represented a 0.03 percent increase in men who underwent the procedure compared to a 2.54 percent increase in women.
- Co-morbidity, or the presence of other disorders or disease at the time of surgery, increased during the study time-span.
- At the same time, overall complications increased from 12.2 percent in 1999 to 15.6 percent in 2009.
- Significantly, the incidence of sepsis – or blood infection – doubled, rising from 1.2 percent to 2.4 percent.
- The rate of PCNL-related death remained essentially unchanged at 0 to 0.4 percent.
Dr. Ghani and his associates concluded that patients were at higher risk of developing complications if they were older, sicker and treated in more recent years. And though the rate of deaths associated with the procedure remained statistically flat, those cases that did occur were found with older patients.
“We believe the broad use of this procedure, especially in older and sicker patients, may be the reason for these changes,” Dr. Ghani said.
Kidney Stones …….. – POST-Operation Gastric Sleeve Surgery (VSG …
If you don’t believe you can find a way out you become the problem.
If you believe you can find a way out you have solved the problem.
It has been how long??? LOL!!!!
Made it to Onderland on April 24th, 2012 1 month before my 10th Wedding Anniversary!!!
Went into maintenance in August, holding steady after a 4 lb gain, now after giving my body a chance to catch up, I am ready to get back into what would be my “discovery” zone – I am going to try to lose to a size 12, and then decide if I will go back into maintenance or try for a size 10. What do you think???
Kidney Stones Research | dominicspoweryoga
These are some of the larger passed fragments of a 1-cm kidney stone that was blasted using lithotripsy. The stone was composed of calcium oxalate. (Photo credit: Wikipedia)
Kidney stones have been present for a very long time in human history. It was said to have been found in a mummy that is over seven thousand years old. That should be enough proof that humans have long been afflicted by it. These days though people are more aware of kidney stones, why they exist and what to do about them.
Proper information that states how usual it is to develop kidney stones reduces a lot of panic because now you do not have to immediately rush to the emergency room. People now know that drinking lots of water is not just for beautiful skin but also for a healthy kidney.
There maybe times though when drinking tons of water is not enough so more drastic measures need to be taken because the kidney stones cannot be flushed through urine. Here then comes the next option which is surgery. It used to be open surgery procedure for kidney stone removal but in recent years, doctors have found a way to take out kidney stones without the patient having to go under the knife.
Three of the most popular kidney removal surgeries are extra corporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy and ureteroscopy. It is very important to remember that all your decisions should be carefully though of and that you should always be constantly coordinating with your doctor. There should be a thorough understanding of the different procedures and more significant is the awareness of the different risks involved.
The Division of Kidney, Urologic and Hematolgic Diseases of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) maybe a mouthful but its cause is something that is really worth fighting for. The group sources and manages funds for research on the causes, treatments, and prevention of kidney stones. This group affiliated with the National Institutes of Health in Bethesda, MD is so passionate that new medicines and the growing field of lithotripsy have been a great help in finding safer and better treatments for kidney stones. This is really good news for those who are victims of kidney stones otherwise known as the silent stone because it can go on undetected.
Some of the questions this group want answered include: Why do some people continue to have painful stones? What are the long-term effects of lithotripsy? What is/are the natural substance(s) found in urine that blocks stone formation? How can medicine help people identify symptoms of kidney stone formation? Finding the answers to these questions are very crucial in advancing the research so that soon kidney stones prevention and treatment will be as easy as preventing or treating coughs and colds.
With the hope of good things to come in the field of kidney stone research, we go back to the basics. First, someone who is at risk for developing stones may need certain blood and urine tests to determine which factors can be controlled to reduce risks. Second, the first and most elementary way to prevent kidney stones from forming is to drink plenty of fluids and that means more than eight glasses of water a day.
Last and certainly not the least is to keep in mind that getting treated is not enough. A person undergoing treatment should be the patient in doing follow-up tests to make sure that the treatment is working.
Related articles
- How to Avoid and Prevent Kidney Stones (dominicspoweryoga.com)
Kidney stones force rocker Vince Neil from stage | WTKR.com …
Motley Crew singer Vincent Neil was arrested in Las Vegas Sunday night, June 27, 2010, and was charged with DUI.
By Alan Duke
(CNN) — “Severe pain” from kidney stones forced Motley Crue singer Vince Neil to cut short a show in Sydney on Sunday night and check into a hospital, his manager and a bandmate said.
“He was doubled over on his dressing room floor five minutes ’til show time and was told by the promoter to not even play, but Vince said he couldn’t do that to the fans,” guitarist Nikki Sixx told fans on his Facebook page. “I’ve seen Vinnie go onstage with broken bones, his voice completely blown out and torn ligaments but he never ever cancels. Just like an athlete you sometimes have to play through the pain, but last night it became to excruciating.”
After four songs, Neil gave up and walked off stage and was taken to a hospital, Sixx said.
Neil, 52, underwent surgery for the kidney stones, band manager Allen Kovac said Sunday. “Vince is in the recovery room,” he said. “All went well and we will know more soon.”
“He has been having problems for the last few days with kidney stones,” Kovac said.
The next show on the group’s Australian tour, in Brisbane on Tuesday, is still scheduled, he said.
“The doctors said everything went well in the operating room,” Sixx said. “I am going to the hospital to see him before I head to Brisbane.”
“Vince is a warrior who has played shows through a wide ranging list of injuries. If there is a way to safely perform, he always does,” Kovac said. “In nearly 20 years of managing Motley Crue, I can’t recall a show the band has canceled.”
CNN’s Denise Quan contributed to this report.
The-CNN-Wire/Atlanta/+1-404-827-WIRE(9473)
™ & © 2013 Cable News Network, Inc., a Time Warner Company. All rights reserved.