5-PANG technique
by Ashish Lokesh Patni, Ashish Parag Gulhane, Ashish Rawandale-Patil Gulhane

Surgical Techniques in Pediatric and Adolescent Urology

by Mohan S Gundeti
About Video

This video presents five-part percutaneous access needle with glidewire (5-PANG) technique for percutaneous nephrolithotomy. 5-PANG-step 1—Initial puncture with three parts: withdrawl of 1st and 2nd part; confirmation of puncture; and guidewire through part three. 5-PANG-step 2—part 4 over part 3; part 5 over part 4; and withdrawl of part 3 and 4. 5-PANG-step 3—Alkens’ rod through part 5; removal of part 5; and telescopic dilatation.

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