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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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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

UMP BASIC EQUIPMENTS


Initial puncture and dilatation

INITIAL PUNCTURE AND DILATATION


Ump access sheath

UMP ACCESS SHEATH


Ump access sheath1

UMP ACCESS SHEATH

Channel for Water jet


Ump obturator

UMP OBTURATOR

Grooved Obturator


Ump endoscope with sheath

UMP ENDOSCOPE WITH SHEATH

Channel for Laser

Irrigation Channel


Endoscope insertion

ENDOSCOPE INSERTION


Blood clots removal with 3fr ump forceps

BLOOD CLOTS REMOVAL WITH 3FR UMP FORCEPS


Position of laser fiber

POSITION OF LASER FIBER

LASER FIBER

(200 Micron)


Disintegration of stone

DISINTEGRATION OF STONE


Specially designed short probe for lithoclast

SPECIALLY DESIGNED SHORTPROBE FOR LITHOCLAST


Specially design short probe for lithoclast

SPECIALLY DESIGN SHORT PROBE FOR LITHOCLAST


Effects of water jet

EFFECTS OF WATER JET


Water jet channel

WATER JET CHANNEL


Outlet of water jet channel

OUTLET OF WATER JET CHANNEL


Water jet

WATER JET


Extraction of fragments using water jet

EXTRACTION OF FRAGMENTS USING WATER JET


Extraction of fragments using low suction

EXTRACTION OF FRAGMENTS USING LOW SUCTION


Extracted stone fragments

EXTRACTED STONE FRAGMENTS


Size of stone fragments

SIZE OF STONE FRAGMENTS


No nephrostomy no dj stent

NO NEPHROSTOMYNO DJ STENT


No nephrostomy no dj stent1

NO NEPHROSTOMYNO DJ STENT

4mm Puncture with No Bleeding


Advantages

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.


Disadvantages

DISADVANTAGES

  • Instrumentation not possible.

  • Clot removal difficult.

  • Time Consuming.


New technique on the horizon

NEW TECHNIQUE ON THE HORIZON

  • We believe UMP is one morearmamentarium for Kidney Stone removal.


Ultra mini pcnl ump

Thank you


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