Treatment of stoghorn dextra patient with history of hypertension under general anesthesia
Keywords:
Urology, Staghorn Stone, General AnesthesiaAbstract
Staghorn stones are a serious condition that is often associated with urinary tract infections and can lead to severe complications, especially in patients with hypertension. Assess the effectiveness and safety of staghorn stone treatment methods in patients with a history of hypertension and emphasize the importance of pre-operative evaluation and proper anesthetic technique. Analytical case study of a 69-year-old female patient with a history of hypertension and complaints of abdominal pain. The patient showed good recovery after surgery with close monitoring of hemodynamic stability. Appropriate use of general anesthesia successfully reduced the risk of complications during and after the procedure. A thorough pre-operative evaluation, including imaging studies and metabolic assessment, is essential for optimal outcomes. Alternatives such as RIRS show good results with lower risk of complications, especially in hypertensive patients. Metabolic control also plays an important role in the treatment of staghorn stones. A thorough pre-operative evaluation, including imaging studies and metabolic assessment, is essential for optimal results. Alternatives such as RIRS show good results with lower risk of complications, especially in hypertensive patients. Metabolic control also plays an important role in the treatment of staghorn stones
References
1. Legay C, Krasniqi T, Bourdet A, Bonny O, Bochud M. Methods for the dietary assessment of adult kidney stone formers: a scoping review. J Nephrol. 2022 Apr 15;35(3):821–30.
2. Luyckx VA, Cherney DZI, Bello AK. Preventing CKD in Developed Countries. Kidney Int Rep. 2020 Mar; 5(3):263–77.
3. Suharmanto. Ordinal Regression Model to Predict Hypertension. Indian Journal of Forensic Medicine & Toxicology. 2021 May 17;15(3):4185–90.
4. Suyatno S, Kurniawan B, Suharmanto S. Hubungan Profil Lipid Terhadap Kontrol Glikemik DM Tipe 2 Peserta Program Pengelolaan Penyakit Kronis (Prolanis) di fasilitas Kesehatan Provinsi Lampung Tahun 2021. Jurnal Analis Kesehatan. 2021 Jun 28;10(1):35.
5. Asep Sukohar, Suharmanto. Health Belief Model and Hypertension Prevention. Indian Journal of Forensic Medicine & Toxicology. 2021 May 17;15(3):2054–9.
6. Liu F, Zhang N, Jiang P, Zhai Q, Li C, Yu D, et al. Characteristics of the urinary microbiome in kidney stone patients with hypertension. J Transl Med. 2020 Dec 17;18(1):130.
7. Persadha G, Adhani R, Arifin S, Husaini H, Noor MS. Risk Factor Analysis Of The Severity Chronic Kidney Failure Undergoing Hemodialysis At State Hospital. Healthy-Mu Journal. 2022 Apr 22;4(2):74–81.
8. Diri A, Diri B. Management of staghorn renal stones. Vol. 40, Renal Failure. Taylor and Francis Ltd.; 2018. p. 357–62.
9. Sharifiaghdas F, Taheri M, Nikravesh N, Ahmadzade M, Dadpour M, Narouie B. Clinical Characteristics and Stone Types of Patients with Kidney Staghorn Stone in a Tertiary Referral Center in Iran. Open Urol Nephrol J. 2023 Jan 24;16(1).
10. Terry RS, Preminger GM. Metabolic evaluation and medical management of staghorn calculi. Asian J Urol. 2020 Apr;7(2):122–9.
11. Gul T, laymon M, Alrayashi M, Abdelkareem M, Salah M. Correction to Successful treatment of staghorn stones with flexible ureteroscopy and thulium fiber laser (TFL) lithotripsy: initial experience with 32 cases. Urolithiasis. 2024 Sep 6;52(1):128.
12. Pan SY, Huang CP, Chen WC, Chen YH, Chou ECL. Percutaneous Nephrolithotomy Combined Antegrade Flexible Ureteroscope for Complete Staghorn Stones: A Case Report of a New Concept of Stone Surgery. Medicina (Lithuania). 2023 Jan 1;59(1).
13. Fabio FC, Monga M, Fabio FC, Barata Ribeiro MR. Staghorn renal stones: what the urologist needs to know. International Braz J Urol. 2020;46(6):927–33.
14. Sharbaugh A, Morgan Nikonow T, Kunkel G, Semins MJ. Contemporary best practice in the management of staghorn calculi. Ther Adv Urol. 2019 Jan 9;11.
15. Alghafees MA, Abdul Rab S, Raheel HM, Sabbah BN, Maklad AE, El Sarrag MI, et al. Giant staghorn stone causing inferior vena cava compression: a novel case report. Annals of Medicine & Surgery. 2023 Jun;85(6):2990–4.
16. Yudi INTW, Senapathi TGA, Ryalino C, Pradhana AP. Laparoskopi nefrektomi pada pasien dengan gangguan jantung dan paru. Medicina (B Aires). 2020 Mar 16;51(2).
17. Ghazi A, Sharma N. Ultrasound guided dual tract supine PCNL with simultaneous use of two different energy sources by two urologists working in unison-an innovative approach in staghorn calculus. Urol Case Rep. 2022 Jan;40:101869.
18. Andika R, Birowo P, Rasyid N, Atmoko W. Supine PCNL in patient with staghorn renal stone and severe degree kyphosis: A case report. Urol Case Rep. 2021 Jan;34:101509.
19. Paramita D, Wardani RNK, Harahap MS, Mochamat M. Kadar COHb (Karboksihemoglobin) pada Penggunaan Sevofluran dan Isofluran Pasien yang Menjalani Vitrektomi di Rumah Sakit Umum Pusat Dokter Kariadi. JAI (Jurnal Anestesiologi Indonesia). 2023 Mar 31;15(1):11–20.
20. Mohammadi M, Nouri-Mahdavi K, Barzegar A. Effects of tranexamic acid on bleeding and hemoglobin levels in patients with staghorn calculi undergoing percutaneous nephrolithotomy: Randomized controlled trial. Iran J Med Sci. 2019;44(6):457–64.
21. Bae YK, Na HS, Hwang JW, Lim YJ, Do SH. Incidences of Rocuronium Use during Anesthetic Induction in Adult Patients Undergoing Orthopedic Surgery Using Supraglottic Airway Devices: A Retrospective Analysis. J Clin Med. 2024 Sep 6;13(17):5299.
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