[Drainage of pyelo-ureteral junction surgery: personal technique and review of the literature]. / Drainage après chirurgie de la jonction pyélo-urétérale: technique personnelle et revue de la littérature.
Ann Urol (Paris)
; 33(5): 377-81, 1999.
Article
em Fr
| MEDLINE
| ID: mdl-10544743
ABSTRACT
OBJECTIVES:
To compare the various Stenting techniques used in ureteropelvic junction (UPJ) surgery and to present a personal series of 54 cases in which the Multipurpose Blue Stent (BARD, ANGIOMED) was used. PATIENTS ANDMETHOD:
Between 1994 and 1998, 54 patients were treated for UPJ obstruction (52 underwent a Anderson-Hynes pyeloplasty and 2 a ureterocalicostomy). The Multipurpose Blue Stent insertion technique is described. The stent is removed on postoperative day 10 in the ward without cystoscopy.RESULTS:
Clinical, isotopic and ultrasound improvement was obtained in 98% cases. Seven complications were reported 4 urinary tract infections and 2 stent displacements without noticeable detrimental consequences on the outcome; 1 anastomotic leakage following a ureterocalicostomy requiring a redo operation (which was successful). The average hospital stay was 3 days.DISCUSSION:
This stenting method is compared to those reported in the literature and proves to be more satisfactory in terms of hospital stay and removal.CONCLUSION:
Postoperative leakage in non-stented operated UPJs is an under-reported but significant complication. Trans-anastomotic stenting has proven to be much safer than non-stenting. The Multipurpose Blue Stent reduces hospital stay and does not require a second hospitalisation to be removed.
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Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Cuidados Pós-Operatórios
/
Obstrução do Colo da Bexiga Urinária
/
Cateterismo Urinário
/
Stents
/
Drenagem
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Humans
/
Infant
Idioma:
Fr
Revista:
Ann Urol (Paris)
Ano de publicação:
1999
Tipo de documento:
Article