Radiation Protection During Percutaneous Nephrolithotomy: A New Urologic Surgery Radiation Shield
| Autor: | Gary C. Bellman, Thomas L. Morgan, Ronald M. Yang |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
medicine.medical_specialty Urology medicine.medical_treatment Radiation Dosage urologic and male genital diseases Radiation Protection Occupational Exposure Thermoluminescent Dosimetry medicine Humans Scattering Radiation Urologic surgery Radiation Injuries Percutaneous nephrolithotomy Nephrostomy Percutaneous business.industry Middle Aged Radiation shield female genital diseases and pregnancy complications Surgery Lithotomy position Fluoroscopy Nephrostomy Radiation protection business |
| Zdroj: | Journal of Endourology. 16:727-731 |
| ISSN: | 1557-900X 0892-7790 |
| Popis: | As endourology becomes an important part of the practice of urology, the use of fluoroscopic guidance has increased the exposure of urologists to the possibly deleterious effects of radiation. There is a need for a method of radiation protection for percutaneous nephrolithotomy (PCNL), as the exposure from radiation scatter may be significant, depending on the difficulty of establishing access.We ascertained the effectiveness of a newly modified radiation shield during PCNL. Exposure readings were taken using a thermoluminescent dose monitor placed different distances from the radiation source during six PCNLs. We compared the exposure readings with and without the shield.The shield was able to reduce the radiation by an average of 96.1% at a distance of 25 cm and 71.2% at a distance of 50 cm from the source.The shield can be used as one step toward the goal of reducing surgeon radiation exposure. Other methods, such as dose-minimizing imaging protocols and adaptation of equipment optimized to reduce exposure, are also important measures in creating a safe environment for both the urologist and the patient. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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