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Letters to Editor
22 (
3
); 231-231
doi:
10.4103/0971-4065.98788

Authors reply on “Percutaneous nephrostomy under ultrasound guidance”

Department of Radiodiagnosis, Institute of Post Graduate Medical Education and Research (IPGMER), Kolkata, West Bengal, India
Department of Radiotherapy, NRS Medical College, Kolkata, India
Address for correspondence: Dr. Ranen Kanti Aich, Simultala, Agarpara, North 24 Parganas, West Bengal-700 109, India. E-mail: ranenaich@rediffmail.com

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This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Disclaimer:
This article was originally published by Medknow Publications & Media Pvt Ltd and was migrated to Scientific Scholar after the change of Publisher.

Sir,

‘Percutaneous nephrostomy’[12] 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. , , , , , . Percutaneous nephrostomy under ultrasound guidance. Indian J Nephrol. 2011;21:131-2.
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  2. , , , , , , . Percutaneous nephrostomy by direct puncture technique: An observational study. Indian J Nephrol. 2010;20:84-8.
    [Google Scholar]
  3. , , . Biopsy, drainage and percutaneous treatment of a mass. In: , ed. In Ultrasonography in urology (2nd ed). New York: Thieme Medical Publishers; p. :156-64.
    [Google Scholar]

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