https://synergypublishers.com/pms/index.php/jnur <div class="entry"> <h3>Journal of Nephrology and Urology Research (JNUR) has ceased publication and is no longer accepting submissions.</h3> <h3>All previously published articles are available in the archive of the journal.</h3> <div class="clear"> </div> </div> en-US Mon, 20 Apr 2020 00:00:00 +0000 OJS 3.3.0.10 http://blogs.law.harvard.edu/tech/rss 60 https://synergypublishers.com/pms/index.php/jnur/article/view/1493 Objective: Supra-costal access for PCNL is an established modality to enter the collecting system but potential thoracic complications may limit the adequate usage of this accesss. Objective of the study was to identify the factors leading to supra-costal access, the safety and efficacy of this approach and the potential complications. Materials and Methods: Patients who underwent supra-costal PCNL between December 2014 and March 2017 for the treatment of renal and ureteric stones were prospectively analyzed. We enrolled 51 patients & their data were analyzed for the stone characteristics, clearance & the complications. Results: A total of 51 patients (10.64%) out of 47 9 patients had a supra-costal access, the puncture was supra 12th in 47 cases( 92.15%) and supra 11th in 4 (7.84%) . Second access tract was made in 12 cases for complete stone clearance, 46 renal units (90.19 %) became stone free after the primary and ancillary procedures. Hemorrahge was the most common complication in 7.84 % of cases, inter-costal chest drain had to be inserted in one patient (1.96 %) with supra 11th rib access due to pleural collection. All patients recovered well and were asymptomatic on follow-up. Conclusions: The supra-costal approach provides optimum access, excellent visualization, reasonable operative times along with comparable blood loss and good stone clearance. Although thoracic complications are slightly higher than with a sub-costal approach, but adequate precautions and methodical approach can minimize their incidence. A post-operative X-ray chest should be done in all cases to detect any thoracic complications. Editorial Board Copyright (c) https://synergypublishers.com/pms/index.php/jnur/article/view/1493 Mon, 20 Apr 2020 00:00:00 +0000 https://synergypublishers.com/pms/index.php/jnur/article/view/1494 Background: Renal manifestations of rheumatic diseases are sometimes very subtle and difficult to recognize. In another subset of patients they can present as the initial leading symptom of a given disease. Sjögren’s syndrome, Systemic lupus erythematosus, systemic scleroderma, renal vasculitis, rheumatoid arthritis, and mixed connective tissue disease can all manifest or be accompanied by renal impairment. Methods and Results: The authors reviewed the literature on renal manifestation of rheumatic diseases using the key words, lupus erythematosus, systemic autoimmune diseases, rheumatoid arthritis, and vasculitis in publicly available internet search engines such as PubMed, Google Scholar. The following review utilized the information gleaned from these review articles. Conclusion: The early recognition by the primary care physician and diagnosis of renal manifestations requires proper interpretation of the clinical situation, laboratory results and image analysis; in conjunction with close interdisciplinary collaboration between various specialists can lead to a more favorable outcome for the patient. Abdulbari Bener, Ebru Morgul, Muhammed Atak, Cem Cahit Barışık Copyright (c) https://synergypublishers.com/pms/index.php/jnur/article/view/1494 Mon, 20 Apr 2020 00:00:00 +0000