Talk about urology

We are going to discuss today PCNL in a large kidney stone using the Shock-pulse technology, which as you may be aware, is one of the newer energy sources which are now in use. This shock pulse is a dual-energy system, which uses both ultrasonic as well as mechanical/pneumatic energy intermittently for stone fragmentation, which allows rapid fragmentation as well as rapid clearance of the stone, making the procedure much faster and much more efficient. This is especially useful in large stones and staghorn stones, and in our experience, it has significantly reduced the overall operating time and also morbidity. 
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In this course by Dr Gökce demonstrates Standard Supine PCNL. Dr Gökce interest is in endourology and urolithiasis clinical activities and scientific studies. He has a surgical experience of over 3000 cases in stone surgery alone as of December 2019. There are 112 scientific articles published in international and national journals and 484 citations to these articles 
Price: FREEE
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Prof Dr Wael Gamal Saad demonstrates step by step guide om how to perform a percutaneous nephrolithotomy procedure.
Price: FREE
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Dr. Marcos Cepeda from University of Valladolid, Spain demonstrates step by step guide for calyceal diverticulum calculus. 
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Prof Dr  Emanuele Montanari from Milan Italy demonstrates step by step guide to perform micro PCNL
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A good description emphasizes benefits, increasing the desire for your products or services
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Amplatz dilatation during PCNL
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Percutaneous nephrolithotomy (PNL) is still the gold-standard treatment for large and/or complex renal stones. Evolution in the endoscopic instrumentation and innovation in the surgical skills improved its success rate and reduced perioperative morbidity. ECIRS (Endoscopic Combined IntraRenal Surgery) is a new way of affording PNL in a modified supine position, approaching antero-retrogradely to the renal cavities, and exploiting the full array of endourologic equipment. 
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Prof Stefania Ferretti shares how she performs Endoscopic Combined Intrarenal Surgery (ECIRS).  She describes step by step guide on how to perform endoscopic flexible ureteroscopic guided puncture to the desired calyx while performing PCNL. 
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Prof. Simon Choong from Institute of Urology, University College London Hospitals demonstrates standard PCNL
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Supermini PCNL is a small  sized tract for performing PCNL. Prof Simon Choong demonstrates step by step guide on how to perform 14 Fr Supermini PCNL.
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Dr. Nariman Gadzhiev demonstrates standard supine PCNL. Dr Gadzheiv demonstrates how to manage the residual stone during PCNL without flexible scope and withlout making an additional tract. Dr Gadzheiv demonstrates how to manage a stone in parallel calyx using a guidewire. 
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Over view of how modified aspiration sheath works during PNL surgery. 
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Illustrative visualization of various puncturing techniques like Monoplanar, Bull's eye technique, triangulation technique and supine PCNL technique is described by Prof Andreas Skolarikos.
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Dr. Kremena Petkova demonstrates another method of tract dilatation for PCNL using alkens metal dilators. Dr. Kremena also demonstrates how to place the outer sheath of the nephoscope as an amplatz sheath during PCNL while dilating the tract with an alkens metal dilator.   
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PCNL is a common surgery performed for stones larger than 20 mm. Often urologists don't have all the advanced types of equipment for executing the surgery. Dr. Joseph demonstrates a mini-PCNL surgery where he used a semi-rigid ureteroscope to enter into the pelvicalyceal system from the mini-PCNL tract in the antegrade path. He used conventional pneumatic lithoclast instead of a laser for stone fragmentation and these fragments are successfully evacuated using the suction system. 
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