PMID- 17451328
OWN - NLM
STAT- MEDLINE
DCOM- 20070621
LR  - 20161124
IS  - 0892-7790 (Print)
IS  - 0892-7790 (Linking)
VI  - 21
IP  - 4
DP  - 2007 Apr
TI  - Introducing a new sealant applicator for easy, safe, and quick closure of a 
      mini-percutaneous nephrolitholapaxy access tract.
PG  - 393-6
AB  - PURPOSE: To achieve better hemostasis after mini-percutaneous nephrolitholapaxy 
      (mini-PCNL), we developed a new application device that can be used to close the 
      renal-access tract with gelatin matrix hemostatic sealant (GMHS). PATIENTS AND 
      METHODS: After mini-PCNL was performed on 11 patients, a Double-J ureteral stent 
      was placed antegrade. After retraction of the 18F Amplatz sheath out of the 
      collecting system under vision without irrigation, the urothelium collapsed. The 
      15F metal applicator with a 10F working channel was then inserted and GMHS 
      injected during further retraction of both the device and the Amplatz sheath. The 
      skin was closed with Steri-strips. RESULTS: The renal parenchymal tract of the 
      mini-PCNL can be sealed in 15 to 50 seconds. Postoperatively, no urinoma was 
      observed. All patients had an uneventful follow-up. CONCLUSION: Closing the track 
      of the mini-PCNL with the new application device and GMHS is a safe, easy, and 
      quick alternative to the common nephrostomy tube.
FAU - Nagele, Udo
AU  - Nagele U
AD  - Department of Urology, University of Tubingen, Tubingen, Germany.
FAU - Anastasiadis, Aristotelis G
AU  - Anastasiadis AG
FAU - Schilling, David Alexander
AU  - Schilling DA
FAU - Sievert, Karl Dietrich
AU  - Sievert KD
FAU - Kuczyk, Markus A
AU  - Kuczyk MA
FAU - Stenzl, Arnulf
AU  - Stenzl A
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Endourol
JT  - Journal of endourology
JID - 8807503
RN  - 0 (Hemostatics)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Drug-Related Side Effects and Adverse Reactions
MH  - Female
MH  - Hemostatics/*pharmacology
MH  - Humans
MH  - Kidney/diagnostic imaging
MH  - Male
MH  - Middle Aged
MH  - Nephrostomy, Percutaneous/*methods
MH  - Postoperative Care
MH  - Tomography, X-Ray Computed
EDAT- 2007/04/25 09:00
MHDA- 2007/06/22 09:00
CRDT- 2007/04/25 09:00
PHST- 2007/04/25 09:00 [pubmed]
PHST- 2007/06/22 09:00 [medline]
PHST- 2007/04/25 09:00 [entrez]
AID - 10.1089/end.2006.0244 [doi]
PST - ppublish
SO  - J Endourol. 2007 Apr;21(4):393-6. doi: 10.1089/end.2006.0244.