A new safe and ergonomic manipulation tool for the flank-free supine position: "U-Pad"

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dc.authorid0000-0002-3474-3510
dc.contributor.authorSoytaş, Mustafa
dc.date.accessioned2022-08-19T08:51:41Z
dc.date.available2022-08-19T08:51:41Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractIntroduction: One of the most important problems in the supine percutaneous approach to the kidney is the narrow surgical surface area (SSA) in the lumbar region. Herein, the spatial and angular geometric advantages of the U-shaped lumbar pad (U-Pad) used as a new positioning tool for safety and ergonomics in the supine percutaneous approach have been revealed.Materials and Methods: Data of patients who underwent endoscopic combined intrarenal surgery (ECIRS) using the U-Pad for kidney stones between March and September 2021 were prospectively collected. The demographic, preoperative, operative, and postoperative data of patients have been saved. The patients were positioned first with the standard gel pad (group 1) and then with the U-Pad (group 2). Both SSA (X and X+Y, cm(2)) and angular degree (alpha and beta,degrees) calculations were compared. Fluoroscopy images with the same settings (97 kV/3.00 mA) were visually compared. In geometric data, trapezoidal area formula [(upper base + lower base) x height/2] and goniometer were used to compare with paired t-test.Results: ECIRS was performed on 17 patients, 13 men and 4 women, with a median age of 39 (range 32-47). The median body mass index was 26.2 (23.5-29.1). Stone localization and features were recorded. The median SSA was calculated as 35.7 cm(2) in group 1 and 97.3 cm(2) in group 2, and it was calculated that the total SSA increased to 272.5% with a median of 61.6 cm(2) extra surgical area. Similarly, the downward manipulation angle was 32 degrees (alpha degrees) in group 1, whereas it was 60.6 degrees (beta degrees) in group 2, and the median extra motion angle was calculated as 28.6 degrees (89.3%).Conclusion: The U-Pad is a safe and rapid tool in the supine percutaneous approach to the kidney, providing at least two times the extra SSA and manipulation angle.
dc.identifier.citationSoytaş, M. (2022). A new safe and ergonomic manipulation tool for the flank-free supine position: "U-Pad". Journal of Endourology, 36(8), 1007-1012. http://doi.org/10.1089/end.2021.0949
dc.identifier.doi10.1089/end.2021.0949
dc.identifier.endpage1012
dc.identifier.issn0892-7790
dc.identifier.issn1557-900X
dc.identifier.issue8
dc.identifier.pmid35481815
dc.identifier.scopus2-s2.0-85135768554
dc.identifier.scopusqualityQ1
dc.identifier.startpage1007
dc.identifier.urihttp://doi.org/10.1089/end.2021.0949
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9661
dc.identifier.volume36
dc.identifier.wos000806141000001en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSoytaş, Mustafa
dc.language.isoen
dc.publisherMary Ann Liebert, Inc.
dc.relation.ispartofJournal of Endourologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectGel Pad
dc.subjectKidney Stone
dc.subjectEndoscopic Combined Intrarenal Surgery
dc.subjectPercutaneous Nephrolithotomy
dc.subjectSupine Position
dc.subjectU-Pad
dc.titleA new safe and ergonomic manipulation tool for the flank-free supine position: "U-Pad"
dc.typeArticle

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