The Evaluation of Hemoglobin Fluctuation After Percutaneous Nephrolithotomy
| Autor: | Florentina Gherghiceanu, Veronica Ghirca, Camelia Cornelia Scarneciu, Orsolya Martha, Calin Pavel Cobelschi, Ciprian Todea Moga, Daniel Porav Hodade, Alexandru Georgian Laculiceanu, Ioan Scarneciu, Laurian Maxim |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Materials Science (miscellaneous) Process Chemistry and Technology medicine.medical_treatment General Engineering Urology General Chemistry General Medicine General Biochemistry Genetics and Molecular Biology Materials Chemistry medicine Hemoglobin General Pharmacology Toxicology and Pharmaceutics business Percutaneous nephrolithotomy |
| Zdroj: | Revista de Chimie. 70:3228-3231 |
| ISSN: | 2668-8212 0034-7752 |
| DOI: | 10.37358/rc.19.9.7523 |
| Popis: | The aim of this study was to evaluate the fluctuation of haemoglobin value after performing percutaneous nephrolithotomy (PCNL) in the treatment of kidney stones. We conducted a retrospective study and we included 327 patients who underwent PCNL for renal lithiasis. We evaluated the risk factors for bleeding: location of stones, complexity of lithiasis, length of postoperative hospitalization days, variation of post-operative laboratory constants (haemoglobin, haematocrit). Patients were divided into two age groups: group A (patients under 70 years old) and group B (patients over 70 years). Gender distribution was: 171 female and 156 male. In most of the cases, the stones were located in the renal pelvis (133 cases), multiple lithiasis (105 cases) and staghorn stones (48 cases). There was no statistical difference between the patient�s groups concerning the decrease of post-operative Hgb concentration and complexity of the litiasis, p = 0.10. The average length of post-operative hospitalisation was 3.91 +/- 1.78 SD days in patients who did not have significant hemorrhage and 6.40 +/- 2.35 SD days in patients with intra- and post-operative haemorrhage. The postoperative Hgb levels correlated with post-operative days of hospitalization in elderly patients (rr = -0.44, p = 0.0001). Stone complexity, the size, number or localization of the stones, were not risk factors for the decrease of haemoglobin level after PCNL. Decreased postoperative haemoglobin values can led to increased number of hospitalization days. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|