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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

ULTRA-MINI PCNL (UMP)

BY

DR. JANAK DESAI (M.S., M.Ch.)

DR. RONAK SOLANKI (M.S.)

SAMVED HOSPITAL

AHMEDABAD, INDIA





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




Position of laser fiber
POSITION OF LASER FIBER

LASER FIBER

(200 Micron)



Specially designed short probe for lithoclast
SPECIALLY DESIGNED SHORTPROBE FOR LITHOCLAST











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.