Nouman Khan, Rumman Khan, Kamran Hakeem Khan, Sidra Manzoor, Nadeem Khan, Aziz-ur Rahman.
Tubed vs tubeless PCNL, our experience at North West General Hospital and Research Center, Peshawar.
Pak J Surg Jan ;31(3):204-7.

Objectives:To share our experience in two groups of patients, with kept and discarded nephrostomy tubes aft er PCNL procedure, in terms of complications, hospital stay and analgesia requirements post operatively. Methodology: It was a prospective study on 102 consecutive patients who had under gone PCNL procedure from Jan 15 2015 to Sep 30 2015. Th ey were divided into two groups. Group 1 patients were those in whom nephrostomy tube was inserted and group 2 patients were those in whom no nephrostomy tube was used at the end of procedure. Th ese two groups were followed for 3 months and compared in terms of complications, hospital stay and need for analgesia post operatively Results: Mean age was 39.6 years, male to female ratio was 1.1: 1, mean stone size was 2.6 ± 0.84 cm, 52 cases (51%) were tubed PCNLs while 50 cases (49%) were tubeless PCNLs. Mean hospital stay was 1.7 days. Th e mean hospital stay was high in Group 1 (2.3 days) as compared to Group 2(1.1 days), post OP pyrexia, blood transfusion rates and readmission were high in group 1 than Group 2. Post OP analgesia requirement was less among Group 2 over Group 1. Conclusion: in absence of pelvicalyeal system injury, residual large stones, bleeding and potentially infected system, insertion of nephrostomy has no advantage, its removal doesn’t put patient on any additional risk and rather it increases hospital stay, requirement for post operation analgesia and patients anxiety.

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