ULTRA-MINI PCNL (UMP)

BYDR. JANAK DESAI (M.S., M.Ch.)

DR. RONAK SOLANKI (M.S.)

SAMVED HOSPITAL AHMEDABAD, INDIA

UMP BASIC EQUIPMENTS

INITIAL PUNCTURE AND DILATATION

UMP ACCESS SHEATH

UMP ACCESS SHEATH

Channel for Water jet

UMP OBTURATOR

Grooved Obturator

UMP ENDOSCOPE WITH SHEATH

Channel for Laser

Irrigation Channel

ENDOSCOPE INSERTION

BLOOD CLOTS REMOVAL WITH 3FR UMP FORCEPS

POSITION OF LASER FIBER

LASER FIBER

(200 Micron)

DISINTEGRATION OF STONE

SPECIALLY DESIGNED SHORTPROBE FOR LITHOCLAST

SPECIALLY DESIGN SHORT PROBE FOR LITHOCLAST

EFFECTS OF WATER JET

WATER JET CHANNEL

OUTLET OF WATER JET CHANNEL

WATER JET

EXTRACTION OF FRAGMENTS USING WATER JET

EXTRACTION OF FRAGMENTS USING LOW SUCTION

EXTRACTED STONE FRAGMENTS

SIZE OF STONE FRAGMENTS

NO NEPHROSTOMYNO DJ STENT

NO NEPHROSTOMYNO DJ STENT

4mm Puncture with No Bleeding

Minimal Parenchymal Damage. Minimal Bleeding. 24-Hours or Less Hospitalization. Very Less Usage of Analgesics. No Double – J Stenting. Stone Clearance Rate Very High (In our

series better than RIRS). Good for Paediatric as well as Adult

patients. No Nephrostomy.

ADVANTAGES

Instrumentation not possible. Clot removal difficult. Time Consuming.

DISADVANTAGES

We believe UMP is one more armamentarium for Kidney Stone removal.

NEW TECHNIQUE ON THE HORIZON

Thank you