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ULTRA-MINI PCNL (UMP)

ULTRA-MINI PCNL (UMP) . BY DR. JANAK DESAI (M.S., M.Ch .) DR. RONAK SOLANKI (M.S.) SAMVED HOSPITAL AHMEDABAD, INDIA. UMP BASIC EQUIPMENTS. INITIAL PUNCTURE AND DILATATION. UMP ACCESS SHEATH. UMP ACCESS SHEATH. Channel for Water jet. UMP OBTURATOR. Grooved Obturator.

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ULTRA-MINI PCNL (UMP)

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  1. ULTRA-MINI PCNL (UMP) BY DR. JANAK DESAI (M.S., M.Ch.) DR. RONAK SOLANKI (M.S.) SAMVED HOSPITAL AHMEDABAD, INDIA

  2. UMP BASIC EQUIPMENTS

  3. INITIAL PUNCTURE AND DILATATION

  4. UMP ACCESS SHEATH

  5. UMP ACCESS SHEATH Channel for Water jet

  6. UMP OBTURATOR Grooved Obturator

  7. UMP ENDOSCOPE WITH SHEATH Channel for Laser Irrigation Channel

  8. ENDOSCOPE INSERTION

  9. BLOOD CLOTS REMOVAL WITH 3FR UMP FORCEPS

  10. POSITION OF LASER FIBER LASER FIBER (200 Micron)

  11. DISINTEGRATION OF STONE

  12. SPECIALLY DESIGNED SHORTPROBE FOR LITHOCLAST

  13. SPECIALLY DESIGN SHORT PROBE FOR LITHOCLAST

  14. EFFECTS OF WATER JET

  15. WATER JET CHANNEL

  16. OUTLET OF WATER JET CHANNEL

  17. WATER JET

  18. EXTRACTION OF FRAGMENTS USING WATER JET

  19. EXTRACTION OF FRAGMENTS USING LOW SUCTION

  20. EXTRACTED STONE FRAGMENTS

  21. SIZE OF STONE FRAGMENTS

  22. NO NEPHROSTOMYNO DJ STENT

  23. NO NEPHROSTOMYNO DJ STENT 4mm Puncture with No Bleeding

  24. ADVANTAGES • Minimal Parenchymal Damage. • Minimal Bleeding. • 24-Hours or Less Hospitalization. • Very Less Usage of Analgesics. • No Double – J Stenting. • Stone Clearance Rate Very High (In our series better than RIRS). • Good for Paediatric as well as Adult patients. • No Nephrostomy.

  25. DISADVANTAGES • Instrumentation not possible. • Clot removal difficult. • Time Consuming.

  26. NEW TECHNIQUE ON THE HORIZON • We believe UMP is one morearmamentarium for Kidney Stone removal.

  27. Thank you

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