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Time of India

Docs remove large kidney stones from patient using minimally invasive procedure

1 2 Madurai: Doctors at Meenakshi Mission Hospital and Research Centre (MMHRC), Madurai, successfully removed two large kidney stones from a 62-year-old woman undergoing dual antiplatelet therapy, using a minimally invasive technique known as Retrograde Intra-Renal Surgery (RIRS). Addressing the media on Friday, Dr D Paul Vincent, senior consultant urologist and robotic surgeon, said the patient had recently undergone cardiac stenting and was on blood thinners. She had a 3.5 x 2.5 cm stone in her right kidney and a 2 x 1.5 cm stone in the left. Both were completely cleared through RIRS, and the patient is recovering well. RIRS involves inserting a flexible ureteroscope—a thin tube with a camera and light—through the urinary tract into the kidney. A laser is then used to break the stones into tiny fragments, which are either extracted or passed naturally through urine. Though typically used for stones up to 2 cm in size, Dr Vincent said the procedure can be adapted for larger stones in stages with adequate expertise. "It is especially challenging in patients on blood thinners or those with heart conditions, liver failure, or bleeding disorders," he noted. RIRS avoids surgical incisions, resulting in minimal bleeding, fewer complications, and faster recovery. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Giao dịch vàng CFDs với sàn môi giới tin cậy IC Markets Tìm hiểu thêm Undo Most patients are discharged the next day and can return to routine activities soon after. As a preventive measure, Dr Vincent advised drinking at least three litres of fluids daily to maintain a urine output of two litres, and reducing intake of non-vegetarian food to prevent stone formation. Senior consultants Dr R Ravichandran, head of the urology department, and Dr K Venugopal Konanki were also present at the press briefing.