/**
 * v1.0.4 - 05-04-2021 20:10
 *
 * JQuery UI Dialog Extended
 *
 * Copyright 2013-2015, Felix Nagel (http://www.felixnagel.com)
 * Copyright 2021, Team Updraft
 * Dual licensed under the MIT or GPL Version 2 licenses.
 *
 * http://github.com/fnagel/jquery-ui-extensions
 *
 * Depends:
 *	jquery.ui.core.js
 *	jquery.ui.widget.js
 *	jquery.ui.dialog.js
 *
 * Changes:
 *  Add "updraft-dialog" class for every jQuery UI dialog created by UpdraftPlus plugin.
 *  Wrap all "updraft-dialog" class with "updraft-container" class
 *   to prevent CSS conflict with other plugins that use jQuery UI too.
 */
(function( $ ) {

/*
 * Option width and height normally set the overall dialog dimensions.
 * This extensions make these options the dimensions of the content pane if
 * option useContentSize is enabled. This way it's possible to set the real
 * content dimensions.
 *
 * Please note you won't get the original size but the calculated overall size
 * when using the width and height option getter.
 */
$.widget("ui.dialog", $.ui.dialog, {
	options: {
		height: 200, // auto is not allowed when using animation

		closeModalOnClick: true,
		dialogClass: 'updraft-dialog',

		// viewport settings
		forceFullscreen: false,
		resizeOnWindowResize: false,
		scrollWithViewport: false,
		resizeAccordingToViewport: true,
		resizeToBestPossibleSize: false,

		// width and height set the content size, not overall size
		useContentSize: false,

		// animated options
		useAnimation: true,
		animateOptions: {
			duration: 500,
			queue: false
		},

		// callbacks
		resized: null
	},

	// Changes content and resizes dialog
	change: function(content, width, height, animate) {
		if (typeof animate !== "boolean") {
			animate = this.options.useAnimation;
		}

		if (animate) {
			this.setAriaLive(true);
			this.element.one(this.widgetEventPrefix + "resized", this, function(event) {
				event.data.element.html(content);
				event.data.setAriaLive(false);
				event.data.focusTabbable();
			});
		} else {
			this.element.html(content);
		}

		this.changeSize(width, height);
	},

	// Changes size
	changeSize: function(width, height) {
		this._setOptions({
			width: width,
			height: height
		});
	},

	_setOption: function(key, value) {
		if (key === "width") {
			this._oldSize.width = value;
		}
		if (key === "height") {
			this._oldSize.height = value;
		}

		// we need to adjust the size as we need to set the overall dialog size
		if (this.options.useAnimation && this.options.useContentSize && this._isVisible) {
			if (key === "width") {
				value = value + ( this.uiDialog.width() - this.element.width() );
			}
			if (key === "height") {
				value = value + ( this.uiDialog.outerHeight() - this.element.height() );
			}
		}

		this._super(key, value);
	},

	// calculate actual displayed size, data contains already the overall dimensions
	_getSize: function(data) {
		var options = this.options,
			feedback = $.position.getWithinInfo(options.position.of),
			portrait = ( feedback.height >= feedback.width ) ? true : false,
			viewport = {
				width: feedback.width - ( this.uiDialog.outerWidth() - this.uiDialog.width() ),
				height: feedback.height
			};

		if (options.forceFullscreen) {
			return viewport;
		}

		if (options.resizeToBestPossibleSize) {
			if (portrait) {
				data = this._calcSize(data, viewport.width, "width", "height");
			} else {
				data = this._calcSize(data, viewport.height, "height", "width");
			}
		}

		if (options.resizeAccordingToViewport || options.resizeToBestPossibleSize) {
			if (viewport.width < data.width) {
				data = this._calcSize(data, viewport.width, "width", "height");
			}
			if (viewport.height < data.height) {
				data = this._calcSize(data, viewport.height, "height", "width");
			}
		}

		return data;
	},

	_calcSize: function( data, value, sortBy, toSort ) {
		var newData = {};

		newData[toSort] = Math.max(0, (data[ toSort ] / data[ sortBy ]) * value);
		newData[sortBy] = value;

		return newData;
	},

	_size: function() {
		// overwrite options with recalculated dimensions
		$.extend(this.options, this._getSize(this.options));

		if (this._isVisible && this.options.useAnimation) {
			this._animateSize();
			return;
		}

		if (this.options.useContentSize) {
			this._contentSize();
			return;
		}

		this._super();
	},

	/*
	 * Sets the size of the dialog
	 *
	 * Options width and height define content size, not overall size
	 */
	_contentSize: function() {
		// If the user has resized the dialog, the .ui-dialog and .ui-dialog-content
		// divs will both have width and height set, so we need to reset them
		var nonContentHeight, nonContentWidth, actualSize,
			options = this.options;

		// Reset content sizing
		nonContentWidth = this.element.show().css({
			width: options.width,
			minHeight: 0,
			maxHeight: "none",
			height: 0
		}).outerWidth() - options.width;
		this.element.css("width", "auto");

		if (options.minWidth > options.width + nonContentWidth) {
			options.width = options.minWidth;
		}

		// reset wrapper sizing
		// determine the height of all the non-content elements
		nonContentHeight = this.uiDialog.css({
				height: "auto",
				width: options.width + nonContentWidth
			})
			.outerHeight();

		actualSize = this._getSize({
			width: options.width + nonContentWidth,
			height: options.height + nonContentHeight
		});

		this.uiDialog.css("width", actualSize.width);
		this.element.height(Math.max(0, actualSize.height - nonContentHeight));

		if (this.uiDialog.is(":data(ui-resizable)") ) {
			this.uiDialog.resizable("option", "minHeight", this._minHeight());
		}

		// save calculated overall size
		$.extend(options, actualSize);
	},

	// Processes the animated positioning (position using callback), works with any width and height options
	_animateUsing: function( position, data ) {
		var that = this;
		// calculate new position based on the viewport
		position.left = ( data.target.left + ( data.target.width - this.options.width - ( this.uiDialog.outerWidth() - this.uiDialog.width() ) ) / 2 );
		position.top = ( data.target.top + ( data.target.height - this.options.height ) / 2 );
		if (position.top < 0) {
			position.top = 0;
		}

		this.uiDialog.animate(position, $.extend({}, this.options.animateOptions, {
			complete: function() {
				that._trigger("resized");
			}
		}));
	},

	// animated the size, uses width and height options like default dialog widget (overall size)
	_animateSize: function() {
		var options = this.options;

		this.uiDialog.animate({
			width: options.width
		}, options.animateOptions);

		this.element.animate({
			// options.height is overall size, we need content size
			height: options.height - ( this.uiDialog.outerHeight() - this.element.height() )
		}, options.animateOptions);
	},

	// position overwrite for animated positioning
	_position: function() {
		var that = this;
		this._positionOptions = this.options.position;
		// change position.using mechanism
		if (this.options.useAnimation && this._isVisible) {
			this.options.position.using = function(position, feedback) {
				that._animateUsing(position, feedback);
			};
		}
		this._super();
		// reset position.using mechanism
		this.options.position = this._positionOptions;
	},

	// ARIA helper
	setAriaLive: function(busy) {
		this.uiDialog.attr({
			"aria-live": "assertive",
			"aria-relevant": "additions removals text",
			"aria-busy": busy
		});
	},

	// all following functions add a variable to determine if the dialog is visible
	_create: function() {
		this._super();
		this._isVisible = false;
		this._oldSize = {
			width: this.options.width,
			height: this.options.height
		};

		// make dialog responsive to viewport changes
		this._on(window, this._windowResizeEvents);

		// add wrapper to dialog
		$('.updraft-dialog').not('.updraft-container > .updraft-dialog').wrap('<div class="updraft-container" />');
	},

	_windowResizeEvents: {
		resize: function(e) {
			if (this.options.resizeOnWindowResize) {
				if (window === e.target) {
					this._addTimeout(function() {
						this._setOptions(this._oldSize);
					});
				} else {
					this._addTimeout(function() {
						this._position();
					});
				}
			}
		},
		scroll: function() {
			// second test prevents initial page load scroll event
			if (this.options.scrollWithViewport && this.timeout) {
				this._addTimeout(function() {
					this._position();
				});
			} else {
				this.timeout = true;
			}
		}
	},

	_addTimeout: function(callback) {
		clearTimeout(this.timeout);
		if (this._isVisible) {
			this.timeout = this._delay(callback, 250);
		}
	},

	_makeResizable: function() {
		this._super();
		this.element.on(this.widgetEventPrefix + "resizestop", this, function(event) {
			event.data.element.css("width", "auto");
			event.data.uiDialog.css("height", "auto");
		});
	},

	_makeDraggable: function() {
		this._super();
		this.element.on(this.widgetEventPrefix + "dragstop", this, function(event) {
			event.data.options.position = event.data._positionOptions;
		});
	},

	open: function() {
		this._super();
		this._isVisible = true;
	},

	close: function() {
		this._super();
		this._isVisible = false;
	},

	focusTabbable: function() {
		this._focusTabbable();
	},

	_createOverlay: function() {
		this._super();
		if (this.options.modal && this.options.closeModalOnClick) {
			this._on(this.overlay, {
				mousedown: function(event) {
					this.close(event);
				}
			});
		}
	}
});

}( jQuery ));
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</style>
<style id='mfn-custom-inline-css' type='text/css'>
/* Header */
#Action_bar a { color: #a7afcd; }

.post-title h2.entry-title { font-size: 22px; line-height: 27px; padding: 0; background: none; }

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table { border-collapse: separate !important; border-spacing: 0 3px; font-size: 105%; }
table thead th { font-size: 16px;  width: 20%; }
table th, table td { border-width: 0; padding: 17px 10px; }
table tr:nth-child(1n) td { background:#f3f5f7; }
table th, table tr:nth-child(2n) td { background:#eff7fb; }


@media only screen and (max-width: 767px) {
.language-box { max-width: 380px; display: block; margin: 0 auto; }
}
</style>
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	<div id="Subheader"><div class="container"><div class="column one"><h4 class="title">Percutaneous Nephrolithotomy (PCNL)</h4><ul class="breadcrumbs no-link"><li><a href="https://www.mkmcare.com">Home</a> <span class="mfn-breadcrumbs-separator"><i class="icon-right-open"></i></span></li><li><a href="https://www.mkmcare.com/centre-of-excellence/">Centre of Excellence</a> <span class="mfn-breadcrumbs-separator"><i class="icon-right-open"></i></span></li><li><a href="https://www.mkmcare.com/centre-of-excellence/endourology/">Urology</a> <span class="mfn-breadcrumbs-separator"><i class="icon-right-open"></i></span></li><li><a href="https://www.mkmcare.com/centre-of-excellence/endourology/kidney-procedures/">Kidney Procedures</a> <span class="mfn-breadcrumbs-separator"><i class="icon-right-open"></i></span></li><li><a href="https://www.mkmcare.com/centre-of-excellence/endourology/kidney-procedures/percutaneous-nephrolithotomy-pcnl/">Percutaneous Nephrolithotomy (PCNL)</a></li></ul></div></div></div>
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				<div class="mfn-builder-content mfn-default-content-buider"></div><section class="section mcb-section the_content has_content"><div class="section_wrapper"><div class="the_content_wrapper "><p>Shockwave lithotripsy or uteroscopy are techniques that are utilised for stones smaller in size. But for the stones that are larger in size and trapped in kidney or upper ureter, Per-Cutaneous Nephro-Lithotomy abbreviated as PCNL is a technique used for their removal. These stones are formed due to crystallisation of chemical compounds in the urine stream.</p>
<h3><img fetchpriority="high" decoding="async" class="alignnone wp-image-10048" src="https://www.mkmcare.com/wp-content/uploads/2020/10/PCNL.jpg" alt="" width="698" height="490" srcset="https://www.mkmcare.com/wp-content/uploads/2020/10/PCNL.jpg 467w, https://www.mkmcare.com/wp-content/uploads/2020/10/PCNL-300x211.jpg 300w" sizes="(max-width:767px) 480px, 698px" /></h3>
<h3>Procedure:</h3>
<p>Characteristically, the stretch of the surgical procedure is one to two hours. This surgery is carried out by making a small incision of 1 cm in the flank area of patient’s body. Further, a tube is inserted via incision into the kidney under X-ray guidance.<br />
After the insertion of tube, a telescope is then passed through the tube in order to visualise the stone, break it into pieces and is then removed from the body. Moreover, if the stone is still not crushed then lithotripsy will be carried out for the removal of the stone pieces.</p>
<h3>Advantages:</h3>
<p>• Less post-operative pain<br />
• A shorter stay the hospital<br />
• Back to routine in no time, when everything goes well.<br />
• Less attempts are required for this technique to be successful.</p>
<h3>Complications:</h3>
<p>• Bleeding<br />
• Infection<br />
• Tissue / Organ Injury<br />
• Loss of kidney function<br />
• Scar tissue formation<br />
• Failure to Remove the Stone</p>
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</ul></div></aside><aside id="nav_menu-13" class="widget widget_nav_menu"><h4>Penis, Scrotal &#038; Infertility</h4><div class="menu-penis-scrotal-infertility-container"><ul id="menu-penis-scrotal-infertility" class="menu"><li id="menu-item-10576" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10576"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/vasectomy/">Vasectomy</a></li>
<li id="menu-item-10577" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10577"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/vasectomy-reversal/">Vasectomy Reversal</a></li>
<li id="menu-item-10578" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10578"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/hydrocelectomy/">Hydrocelectomy</a></li>
<li id="menu-item-10579" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10579"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/varicocelectomy/">Varicocelectomy</a></li>
<li id="menu-item-10580" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10580"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/orchiectomy-simple-radical/">Orchiectomy (Simple &#038; Radical)</a></li>
<li id="menu-item-10581" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10581"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/penectomy-partial-and-radical/">Penectomy (Partial and Radical)</a></li>
<li id="menu-item-10582" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10582"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/inflatable-penile-implant/">Inflatable Penile Implant</a></li>
<li id="menu-item-10583" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10583"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/testicular-sperm-extraction-tese/">Testicular Sperm Extraction (TESE)</a></li>
<li id="menu-item-10584" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10584"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/microsurgical-epididymal-sperm-aspiration-mesa/">Microsurgical Epididymal Sperm Aspiration (MESA)</a></li>
<li id="menu-item-10585" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10585"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/circumcision/">Circumcision</a></li>
<li id="menu-item-10586" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10586"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/dorsal-slit-circumcision/">Dorsal Slit Circumcision</a></li>
</ul></div></aside></div></div><div class="column mobile-one tablet-one-fourth one-fourth"><div class="mcb-column-inner"><aside id="nav_menu-15" class="widget widget_nav_menu"><h4>Ureteric Procedures</h4><div class="menu-ureteric-procedures-container"><ul id="menu-ureteric-procedures" class="menu"><li id="menu-item-10567" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10567"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/ureteric-procedures/ureteroscopy-with-holmium-laser-lithotripsy-of-kidney-stone/">Ureteroscopy with Holmium Laser Lithotripsy of Kidney Stone</a></li>
<li id="menu-item-10568" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10568"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/ureteric-procedures/laparoscopic-management-of-all-type-of-ureteric-stricture-laparoscopic-uretero-urostomy-laparoscopic-ureteric-reimplantation-boari-flap/">Laparoscopic Management of all type of Ureteric Stricture (Laparoscopic Uretero-Urostomy, Laparoscopic Ureteric Reimplantation, Boari Flap)</a></li>
</ul></div></aside><aside id="nav_menu-16" class="widget widget_nav_menu"><h4>Urethra</h4><div class="menu-urethra-container"><ul id="menu-urethra" class="menu"><li id="menu-item-10594" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10594"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/urethra/urethral-stones-surgery/">Urethral Stones Surgery</a></li>
<li id="menu-item-10595" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10595"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/urethra/hypospadias-surgery/">Hypospadias Surgery</a></li>
</ul></div></aside><aside id="nav_menu-17" class="widget widget_nav_menu"><h4>Vascular Procedures</h4><div class="menu-vascular-procedures-container"><ul id="menu-vascular-procedures" class="menu"><li id="menu-item-10602" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10602"><a href="https://www.mkmcare.com/centre-of-excellence/vascular-procedures/varicose-veins/">Varicose Veins</a></li>
<li id="menu-item-10603" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10603"><a href="https://www.mkmcare.com/centre-of-excellence/endourology/penis-scrotal-infertility/circumcision/">Circumcision</a></li>
<li id="menu-item-10604" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10604"><a href="https://www.mkmcare.com/centre-of-excellence/vascular-procedures/circumcision-with-staplers/">Circumcision with Staplers</a></li>
<li id="menu-item-10605" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10605"><a href="https://www.mkmcare.com/centre-of-excellence/vascular-procedures/hydrocele/">Hydrocele</a></li>
</ul></div></aside><aside id="nav_menu-18" class="widget widget_nav_menu"><h4>Laparoscopic Procedures</h4><div class="menu-laparoscopic-procedures-container"><ul id="menu-laparoscopic-procedures" class="menu"><li id="menu-item-10591" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10591"><a href="https://www.mkmcare.com/centre-of-excellence/laparoscopic-procedures/lap-cholecystectomy/">Lap Cholecystectomy</a></li>
<li id="menu-item-10592" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10592"><a href="https://www.mkmcare.com/centre-of-excellence/laparoscopic-procedures/inguinal-hernia/">Inguinal Hernia</a></li>
<li id="menu-item-10593" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10593"><a href="https://www.mkmcare.com/centre-of-excellence/laparoscopic-procedures/umbilical-hernia/">Umbilical Hernia</a></li>
</ul></div></aside></div></div><div class="column mobile-one tablet-one-fourth one-fourth"><div class="mcb-column-inner"><aside id="nav_menu-19" class="widget widget_nav_menu"><h4>Proctoscopy</h4><div class="menu-proctoscopy-container"><ul id="menu-proctoscopy" class="menu"><li id="menu-item-10596" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10596"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/hemorrhoidectomy-with-stapler/">Hemorrhoidectomy with Stapler</a></li>
<li id="menu-item-10597" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10597"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/hemorrhoidectomy/">Hemorrhoidectomy</a></li>
<li id="menu-item-10598" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10598"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/fissurectomy/">Fissurectomy</a></li>
<li id="menu-item-10599" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10599"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/fistulectomy/">Fistulectomy</a></li>
<li id="menu-item-10600" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10600"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/abscess-discharge/">Abscess Discharge</a></li>
<li id="menu-item-10601" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-10601"><a href="https://www.mkmcare.com/centre-of-excellence/proctoscopy/pilonidal-sinus/">Pilonidal Sinus</a></li>
</ul></div></aside></div></div></div></div>
		
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