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. 2013 Jul;29(3):214-8.
doi: 10.4103/0970-1591.117282.

Current role of microperc in the management of small renal calculi

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Current role of microperc in the management of small renal calculi

Ravindra B Sabnis et al. Indian J Urol. 2013 Jul.

Abstract

'Microperc' is a recently described technique in which percutaneous renal access and lithotripsy are performed in a single step using a 16 G micropuncture needle. 'Mini-microperc' is a further technical modification in which an 8 Fr sheath is used to allow insertion of ultrasonic or pneumatic lithoclast probe with suction. The available evidence indicates that microperc is safe and efficient in the management of small renal calculi in adult and pediatric population. It can also be used for renal calculi in ectopic kidneys and bladder calculi. The high stone clearance rate and lower complication rate associated with microperc make it a viable alternative to retrograde intrarenal surgery.

Keywords: Laser lithotripsy; microperc; percutaneous nephrolithotomy; small renal calculi.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Three part microperc needle
Figure 2
Figure 2
Setup of microperc armamentarium
Figure 3
Figure 3
Close-up view of three-way connection
Figure 4a
Figure 4a
Mini-microperc sheath with obturator
Figure 4b
Figure 4b
Mini-microperc setup with lithoclast probe

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