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Antibiotic prophylaxis as per the surgeons

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Consider the risk of pneumothorax as the surgical approach is near the diaphragm below the 12th rib.

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PCNL is an endoscopic lithotripsy/lithotomy procedure performed via a percutaneous nephrostomy port for destruction and removal of renal calculi not amenable to ESWL or lithotripsy via the ureteric approach.

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Position will initially be lithotomy for cystoscopy and insertion of ureteric stent for injection of dye, then patient will be moved into either a prone or semi-supine position for the PCNL

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