Peak force of insertion during ureteral access sheath placement in an ex-vivo experimental model with different commercially available access sheaths

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dc.authorscopusidYasin Yitgin / 56562977600
dc.authorwosidYasin Yitgin / ABE-9487-2020
dc.contributor.authorErgül, Rıfat Burak
dc.contributor.authorButticè, Salvatore
dc.contributor.authorYitgin, Yasin
dc.contributor.authorGünver, Mehmet Güven
dc.contributor.authorÖzcan, Faruk
dc.contributor.authorNane, İsmet
dc.contributor.authorTraxer, Olivier
dc.contributor.authorTefik, Tzevat
dc.date.accessioned2025-04-18T10:14:30Z
dc.date.available2025-04-18T10:14:30Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractObjective: To measure the force necessary to win the resistance during insertion of ureteral access sheaths (UAS) in an experimental homemade model and to compare the peak force of insertion (PFOI) of different commercially available UASs. Methods: Three investigators (2 novice and 1 expert) inserted the UASs into 2 different adapters with diameters of 10 Fr and 8 Fr. The force of insertion was continuously measured with a digital force gauge connected to the UAS during each insertion. Four different brands of UAS with different diameters, totally 11 different UASs were used for the experiment. The PFOI of each UAS was compared among each other and adapter diameters. Results: The mean PFOI in adapters 1 and 2 were 1.85 N and 5.32 N, respectively. All of the mean PFOIs were significantly lower in adapter 1 compared to adapter 2, regardless of the novice vs expert surgeons and the UASs. (P <.001) In adapter 1, the mean PFOI was lowest with the UAS-1 and highest with the UAS-8. In adapter 2, the mean PFOI was lowest with the UAS-3 and highest with the UAS-9. For adapters 1 and 2, no statistical difference was found when comparing an expert and the 2 novice surgeons. Conclusion: The PFOI during UAS placement is not solely correlated with UAS thickness and adapter diameters. Other factors such as hydrophilic coating, UAS flexibility, inner dilator properties, UAS smoothness, and the actual measured external diameter of UASs should be taken into consideration. The clinical relevance and ureteral injury risk of the UAS PFOI need to be studied.
dc.identifier.citationErgül, R. B., Butticè, S., Yitgin, Y., Günver, M. G., Ozcan, F., Nane, I., ... & Tefik, T. (2024). Peak Force of Insertion During Ureteral Access Sheath Placement In An Ex-Vivo Experimental Model With Different Commercially Available Access Sheaths. Urology, 192, 12-18.
dc.identifier.doi10.1016/j.urology.2024.06.067
dc.identifier.endpage18
dc.identifier.issn00904295
dc.identifier.pmid38964618
dc.identifier.scopus2-s2.0-85200909701
dc.identifier.scopusqualityQ2
dc.identifier.startpage12
dc.identifier.urihttp://dx.doi.org/10.1016/j.urology.2024.06.067
dc.identifier.urihttps://hdl.handle.net/20.500.12713/7002
dc.identifier.volume192
dc.identifier.wosWOS:001328205800001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYitgin, Yasin
dc.institutionauthoridYasin Yitgin / 0000-0003-1111-6941
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofUrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.titlePeak force of insertion during ureteral access sheath placement in an ex-vivo experimental model with different commercially available access sheaths
dc.typeArticle

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