Here is a video showing how PCN is done. Dr Vikram has explained it in the video very well.
Indications for PCN are:
- Pelvi-Ureteric Junction Obstruction
- Renal abscesses, urinomas
- PUJ obstruction secondary to stone
- Urine diversion in obstruction during pregnancy
- Treatment regarding any fistulas due to iatrogenic or traumatic injuries, malignant or inflammatory fistulas.
Contra-Indications include:
- Bleeding diathesis
- Unco-operative patient
- Severe hyperkalemia (>7) -- Do dialysis first then the procedure
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