Techniques in Percutaneous Renal Stone Surgery

This book covers all aspects of Percutaneous Renal stone surgeries, starting with a step-by-step approach to patient evaluation and pre-operative preparation to the actual planning of surgeries. The topics covered give a general outline of stone treatment as well as the handling of different situations. It covers new developments in the field with a new approach to the treatment of Stone disease. The special chapters of interest are training in such surgeries and troubleshooting, emphasizing the management of difficulties such as residual stones and complications faced during surgeries. An essential aspect of this book is a detailed chapter on the intricacies and their management, which serves as a helpful tool to novice surgeons, who can be well prepared in advance to avoid possible complications.

The book serves as a primer for the practical training of young surgeons and trainees as well. It will help them widen their horizons on all the aspects of stone surgery before embarking on this journey and will help to inspire many budding surgeons to take up and specialize in this surgery.

Surgeons, at the mid-career level, will also be able to refresh their knowledge, learn about the newer technologies and the latest technological advancements in this field covered in this book.

For surgeons and academicians at all stages of their careers, this comprehensive book, covering all aspects of the popular technique of PCNL, is helpful to update their knowledge of this subject.

Dedication.-1 Preface / Introduction.-2 Anatomy for Percutaneous Renal Surgery and Access to Pelvicalyceal system.-3 Imaging for Percutaneous Renal Surgery.-4 Preoperative Workup for Percutaneous Renal Surgery.-5 Consent for PCNL.-6 Anesthetic considerations for Percutaneous Renal Surgery.-7 PCNL armamentarium - Rigid and Flexible Nephroscopes.-8 PCNL lithotripsy devices.-9 PCNL Accessories - Guide wires and Baskets.-10 PCNL - Small to smaller - a Journey from Max to Mini to Micro.-11 Supine PCNL.-12 PCNL Complications.-13 PCNL Bleeding Complications and their Prevention.-14 Exit strategies for PCNL.-15 Residual stones and management.-16 Training for PCNL.-17 Tips and tricks for PCNL.-18 Stone evaluation - Biochemical Analysis and its clinical implications.-19 PCNL - Future directions.

Dr. Subodh R. Shivde, presently working as a professor and head of Urosurgery and Transplant Services at Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India. He obtained his training in General Surgery and Urosurgery and Renal transplant from KEM Hospital and Seth GS Medical College Mumbai, followed by advanced training in Minimal Access Surgery and Laparoscopic Urosurgery in the UK from 1995 till 2001. After doing FRCS Urology and FEBU and Diploma in Laparoscopic Surgery IRCAD France, he worked as a Consultant Urologist at the prestigious Kings College London. Following a fellowship in Laparoscopic Urology at Cleveland Clinic, Ohio, on his return to India, he established a state-of-the-art Urology Department in Pune in 2001, heading it since its inception. With over 30 publications in peer-reviewed journals, presentation of several hundred papers across the globe in various scientific meetings, and a reviewer for some scientific journals such as J MAS and SaudiJournal of Kidney Transplant Diseases.

His main work areas involve renal stone surgeries and Uro-oncology with a particular interest in Laparoscopic and Robotics.