Authors reply on "Percutaneous nephrostomy under ultrasound guidance"

R Karim; S Sengupta; S Samanta; RK Aich; U Das; P Deb

doi:10.4103/0971-4065.98788

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LETTER TO EDITOR

Year : 2012 | Volume : 22 | Issue : 3 | Page : 231

Authors reply on "Percutaneous nephrostomy under ultrasound guidance"

R Karim¹, S Sengupta¹, S Samanta¹, RK Aich², U Das¹, P Deb¹
¹ Department of Radiodiagnosis, Institute of Post Graduate Medical Education and Research (IPGMER), Kolkata, West Bengal, India
² Department of Radiotherapy, NRS Medical College, Kolkata, India

Date of Web Publication

20-Jul-2012

Correspondence Address:
R K Aich
Simultala, Agarpara, North 24 Parganas, West Bengal-700 109
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/0971-4065.98788

How to cite this article:
Karim R, Sengupta S, Samanta S, Aich R K, Das U, Deb P. Authors reply on "Percutaneous nephrostomy under ultrasound guidance". Indian J Nephrol 2012;22:231

How to cite this URL:
Karim R, Sengupta S, Samanta S, Aich R K, Das U, Deb P. Authors reply on "Percutaneous nephrostomy under ultrasound guidance". Indian J Nephrol [serial online] 2012 [cited 2021 Jan 23];22:231. Available from: https://www.indianjnephrol.org/text.asp?2012/22/3/231/98788

Sir,

'Percutaneous nephrostomy' ^[1],[2] is a very effective procedure to relieve upper urinary tract obstruction temporarily, but is seldom practiced. Baishya et al.^[1] correctly pointed out the benefits of the procedure under ultrasound guidance, as also particularly the risk of long-term radiation to the health personnel. The observations of the authors and that of Baishya et al.^[1] are essentially similar. The debate between the proponents of the freehand technique and attached guide technique is age-old. ^[3] In our opinion, the freehand technique proves better in needle visualization and correct placement of the catheter. The Malecot catheter might be a better alternative in certain situations, where there is a significant chance of catheter blockage e.g. presence of pus or blood clot in the obstructed calyx.

References

1.	Baishya RK, Dhawan DR, Jagtap J, Sabnis R, Desai MR. Percutaneous nephrostomy under ultrasound guidance. Indian J Nephrol 2011;21:131-2
2.	Karim R, Sengupta S, Samanta S, Aich RK, Das U, Deb P. Percutaneous nephrostomy by direct puncture technique: An observational study. Indian J Nephrol 2010;20:84-8. [PUBMED]
3.	Dodd GD, Head H. Biopsy, drainage and percutaneous treatment of a mass. In Ultrasonography in urology. 2 ^nd ed. I Bluth EI, editor. Thieme Medical Publishers, New York p . 156-64.