Evidence map›Paper›PMID 35198401›Full record

ReviewAsian journal of urology2022

Current insights on haemorrhagic complications in percutaneous nephrolithotomy.

Sujeet Poudyal

Open access · diamondAbstract readReview
In one paragraph

Review in Asian journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 65 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Sujeet PoudyalDepartment of Urology and Kidney Transplant Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Tribhuvan University Teaching Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePercutaneous nephrolithotomy (PCNL) is the standard procedure for the management of large and complex renal stones. Blood loss during PCNL may occur during puncture, tract dilatation, and stone fragmentation. Therefore, despite recent advances in PCNL, haemorrhagic complication still occurs. This study aims to enlighten on various aspects of haemorrhagic complication in PCNL, mainly focusing on risk factors and management of this dreadful complication.

methodsLiterature search for the study was carried out using advanced search engines like PubMed, Cochrane, and Google Scholar, combining keyword "percutaneous lithotomy" with other keywords like "bleeding", "haemorrhage", "complications", "stone scoring systems", "mini-PCNL

resultsA total of 3670 articles published from January 1995 to September 2020 were screened for the review. Although not consistent, multiple studies have described various preoperative and intraoperative risk factors related to significant bleeding in PCNL. Identification of these risk factors help urologists to anticipate and promptly manage haemorrhagic complications associated with the procedure. A conservative approach suffices to control bleeding in most cases; nevertheless, bleeding can be life-threatening and few still need surgical intervention in the form of angiographic embolisation or open surgical exploration.

conclusionAs hemorrhagic complication in PCNL is associated with considerable morbidity and mortality, prudent intraoperative decision and postoperative care are necessary for its timely prevention, detection, and management.

Indexed as

BleedingEmbolisationPercutaneous nephrolithotomyPunctureRenal stone

Identifiers

PMID35198401
PMCPMC8841251
OpenAlexW3166590471

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.