A comparative nursing study of tubeless and standard percutaneous nephrolithotomy

Objective To compare the post operative nursing between tubeless and standard percutaneous nephrolithotomy. Methods The retrospective study was done on both 35 cases with standard percutaneous nephrolithotomy and 12 cases with tubeless percutaneous nephrolithotomy. The following variables were statistically analyzed: the operation time, postoperative pain, analgesia requirement, blood loss, postoperative morbidity and postoperative hospital stay, etc. Results All patients had an uneventful postoperative recovery. The average visual analogue scale pain score on postoperative day 1 for the standard PCNL group patients was (5.9 ±0.51 )compared with (3.1 ± 0.48 ) in the tubeless group (t =2. 72, P ＜ 0. 01 ). The mean analgesia requirement for the standard PCNL group (meperidine 126.5 ± 33.3 mg) was significantly more than the tubeless group (meperidine 81.7 ± 24.5 mg) (t =3. 31, P ＜ 0. 01 ). Conclusions Tubeless PCNL reduces postoperative urinary leakage and local pain related to the drainage tube. It also minimizes hospital stay; the majority of patients were discharged from the hospital in less than 24 hour. With the hypothesis of same therapy effect, it may reduce the pains of patients and the difficulty of nursing, which may improve the working efficiency of medical treatment and nursing. Key words: Renal calculi;  Nephrolithotomy,percutaneous;  Nursing