TITLE

Pediatric pyeloplasty: Intubated vs nonintubated

AUTHOR(S)
Sarin, Y. K.; Gupta, R.; Nagdeve, N.
PUB. DATE
January 2006
SOURCE
Indian Journal of Urology;Jan-Mar2006, Vol. 22 Issue 1, p35
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVES: Despite continued controversy regarding the optimal method of urinary diversion after pyeloplasty, we have treated majority of our patients without any tubes or stents. The present study is done to assess the benefits of performing nonintubated pyeloplasty in children. MATERIALS AND METHODS: Thirty consecutive cases of pelviureteric junction obstruction were enrolled in the study from 1998 to 2004 (5.6 years). Six patients underwent nephrectomy and were excluded from the study. Twenty-four patients underwent pyeloplasty performed by a single surgeon; 20 were nonintubated pyeloplasties, other four were intubated. Postoperative complications and length of hospital stay were assessed. RESULTS: The intubated group had higher incidence of UTI and persistence of partial mechanical obstruction postoperatively on radio-nucleotide scans. They also had a significantly longer hospital stay as compared with the nonintubated group. CONCLUSIONS: Nonintubated pyeloplasty in children is safe, cost effective and associated with fewer complications. A stent and a nephrostomy tube appear to be unnecessary in the routine pyeloplasty.
ACCESSION #
20714127

 

Related Articles

  • Sigma-rectum pouch (Mainz pouch II). Djokić, Jovan Hadži; Milojević, Bogomir; Pejčić, Tomislav; Aćimović, Miodrag; Stamenković, Vladimir; Džamic, Zoran // Acta Chirurgica Iugoslavica;2014, Vol. 61 Issue 1, p29 

    The Mainz pouch II is a well tolerated form of continent urinary diversion in terms of morbidity, protection of the upper urinary tract and continence rate, even in patients aged >65 years. Mainz pouch II was described by Fisch and Hohenfellner in 1991. They viewed the simplicity and...

  • Downstream Outcomes of Bladder Replacement. Gilbert, Scott M. // AUANews;Jan2009, Vol. 14 Issue 1, p8 

    The article offers information on the complications associated with the use of bladder replacement in patients with urinary diversion. Patients who receive bladder replacement experience different side effects such as inconsequential metabolic acidosis, renal deterioration, electrolyte...

  • urinary diversion.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p2411 

    An encyclopedia entry for "urinary diversion" is presented, which refers to the surgical redirection of urine flow.

  • T-pouch diversion shows good capacity, little reflux. Dahm, Philipp // Urology Times;Jun2000, Vol. 28 Issue 6, p28 

    Details findings of a study, conducted by researchers from the University of Innsbruck, Austria and presented at the 15th Congress of the European Association of Urology, which showed functional results of orthotopic urinary diversion using the T-pouch technique. Advantages of the T-pouch...

  • Continent Catheterizable Colon Pouches for Urinary Diversion. El-Tahaway, Ehab A.; Kamel, Mohamed H.; Bissada, Nabil K. // AUANews;Jul2011, Vol. 16 Issue 7, p16 

    The article discusses the process and benefits offered by continent cutaneous urinary diversion (CCUD).

  • Complications of Camey-Le Duck ureteral reimplantation technique in modified ureterosigmoidostomy (Mainz pouch II) urinary diversion. Bašić, Dragoslav; Ignjatović, Ivan; Potić, Milan; Radovanović, Miladin // Acta Chirurgica Iugoslavica;2014, Vol. 61 Issue 1, p95 

    Objective: to analyze complications and clinical outcome of Camey-Le Duck ureteral reimplantation technique in modified Mainz pouch II urinary diversion.Patients and methods: this retrospective study included a total of 110 patients (101 male and 9 female, mean age 59,2 years, SD=10,2), who had...

  • Complications of laparoscopic pyeloplasty in children. Nerli, Rajendra B.; Reddy, Mallikarjun; Prabha, Vikram; Koura, Ashish; Patne, Praveen; Ganesh, M. K. // Pediatric Surgery International;Apr2009, Vol. 25 Issue 4, p343 

    Introduction: Laparoscopic pyeloplasty in children has been proven to be safe and effective, with comparable results to open surgery. Due to the extension of laparoscopic indications from ablative to reconstructive procedures requiring endoscopic suturing, most centres have...

  • ileocystostomy.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1150 

    A definition of the term "ileocystostomy," which refers to the replacement of a ureter using an isolated segment of ileum is presented.

  • STAPLED ANOPEXY IN THE TREATMENT OF RECTAL PROLAPSE. Tinghus, Christina; Qvist, Niels // Journal of Pediatric Surgical Specialties;Apr2010, p12 

    Aim: To evaluate the stapled anopexy in the surgical treatment of rectal prolapse in children. Material and Methods: Prospective analyses of 24 patients with a follow-up varying from 2 years to 9 years and 10 months. Results: The success rate after primary stapling was 50 % and after secondary...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics