A Novel Technique to Prevent Effluent Spillage During Percutaneous Cystolithotripsy

Abstract

Our objective was to design an efficient system for collection of refluxing irrigant during performance of percutaneous cystolithotripsy (PCL) to avoid the messy spillage and its undesirable consequences on the patient, the operating team and the operating room environment. A closed drainage system using a long sleeve surgical glove, 10 millimeter laparoscopic trocar, 30 french Amplatz sheath, Y-tubing and linen thread was designed for performing PCL without disconnection during the procedure. While the refluxing effluent was efficiently drained, minimizing spillage, the calculus fragments were collected in a distensible receptacle adjacent to the Amplatz sheath. Three procedures were performed over a year on males with large bladder calculi. The system designed by us was easy to set up, lent itself to easy unhindered performance of the procedure, and spillage of effluent was minimized.

Keywords

• Amplatz sheath
• Percutaneous Cystolithotripsy
• Trocar
• Vesical calculus