Irfan Nazir, Yaser Amin, Fawad Humayun, Hammad Naeem Rana, Maham Tahira.
Practice of Blood Transfusion during Percutaneous Nephrolithotomy of kidney stones in a Tertiary Care Hospital.
Pak J Med Health Sci Jan ;12(1):306-8.

Background : PCNL is a very useful surgery for removing large stones from the kidney with minimal problems in trained hands. However as with all blind access procedures it has significant possible complications. Bleeding is the most common and dreaded consequence of percutaneous nephrolithotomy (PCNL). Injudicious transfusion should be avoided , as it has many possible complications. This study aimed to highlight the prophetic factors of hemorrhage during the PCNL operation and assess the perioperative transfusion needs and to identify predictive factors of patients and procedures which would requite transfusion. Methods : This prospective study was performed at Shalamar Hospital between July 2012 and December 2017. 205 cases of PCNL were performed by a single surge on. All of the cases were included for analysis. Data was recorded on a formatted form. Results were analyzed using SPSS. Results : Out of 205 patients blood transfusion was given in 9 patients. 4.39% of patients needed transfusion after the procedure. Conclusion: PCNL is a safe and better option to conventional pyelolithotomy

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