Complications of percutaneous nephrostomy in a district general hospital

Turo, Rafal; Horsu, S.; Broome, James T.; Das, Sanjay; Gulur, Dev Mohan; Pettersson, B.; Doyle, Gerard; Awsare, Ninaad

doi:10.5152/tud.2018.37336

Cited by 17 publications

(22 citation statements)

References 16 publications

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“…Pericatheter leak, catheter dislodgement and infections alone are generally included in minor category in literature. 14 If transient hematuria is excluded, the combined complication rate is 11.9%. The mildly higher minor complication rate could be due to the higher mobility of the patient and longer duration of retaining the catheter.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous nephrostomy, feasibility of mid and anterior axillary line approach and its complications: an experience

Sundaram¹,

Balasubramanian²,

Narayanasami

et al. 2019

Int J Res Med Sci

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Background: Nephrostomy performed as an emergency procedure to drain the obstructed calyceal system is a lifesaving procedure. Posterolateral approach is usually done to access the avascular plane of Brodel to avoid hemorrhage. This study evaluates the feasibility and complications in percutaneous nephrostomies placed at mid and anterior axillary line entry sites as it was found to be easier approach.Methods: A prospective study with 126 percutaneous nephrostomies performed with Ultrasound guidance, using single puncture technique and 8.5F pigtail catheter. The complications rates were analyzed according to WHO guidelines. Results: The technical success rate was 98.4%. Three hemorrhagic complications (2.38%) were recorded without any major interventions. Increased incidence (11.9%) of transient hematuria was observed with five cases (3.9%) of infection at entry site. One case (0.79%) of peritoneal breech recorded with no significant intraperitoneal collection. Conclusions: Placement of Percutaneous Nephrostomy tube at mid or the anterior axillary line appears to be a feasible and easy approach, as its complications rates are within acceptable limits with an advantage of increased patient comfort.

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Section: Discussionmentioning

confidence: 99%

Percutaneous nephrostomy, feasibility of mid and anterior axillary line approach and its complications: an experience

Sundaram¹,

Balasubramanian²,

Narayanasami

et al. 2019

Int J Res Med Sci

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“…Because of large bore size of the hole and same point of all four holes location near the tip, a malecot-type flower tip is theoretically more prone to tissue ingrowth, which can form a tissue bridge running across through the interior of the catheter. Fragmentation of catheter is also known and may occur in the process of removal of a fixed catheter [3] . This is a disastrous iatrogenic avoidable complication, which prevented by not keeping the drain beyond its clinical expiry date of utility.…”

Section: Discussionmentioning

confidence: 99%

Broken and retained percutaneous nephrostomy malecot catheter: A lesson of awareness

Hasan¹,

Kundu²,

Yadav³

et al. 2019

Int. J. Surg. Sci.

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After the first description of percutaneous nephrostomy (PCN) in 1955 by Goodwin et al. it has become commonest & well-tolerated procedure. It is now well-established technique for urinary drainage, urinary diversion, and for access to the collecting system. But it is not free of complications. Significant hemorrhage, perforation of the intra-abdominal organs & septicemia are among the major complications and minor complications mostly catheter-related like catheter dislodgment, hematuria catheter site infection & catheter blockage are mentioned in literature. Although far from being life-threatening, broken and retained nephrostomy catheter is a rare complication. We report such a rare case of a broken and retained Malecot nephrostomy catheter which was retrieved by percutaneous nephrostomy surgery and by open method.

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“…On the other hand, the insertion of a ureteral stent (US) or a nephrostomy tube (NT) is not devoid of complications (infection, urinary tract symptoms, bleeding, device encrustation or dislocation, and sometimes device failure, in the case of US) [1,2].…”

Section: Introductionmentioning

confidence: 99%

Ureteral Stent and Percutaneous Nephrostomy in Managing Malignant Ureteric Obstruction of Gastrointestinal Origin: A 10 Years’ Experience

Lorenzis

Lievore

Turetti

et al. 2020

Gastrointestinal Disorders

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Background: Malignant ureteral obstruction (MUO) is variable in presentation and there is no consensus on its management, especially when caused by gastrointestinal (GI) malignancies. Our aim was to describe our experience with this oncological complication. Methods: We retrospectively analyzed the outcomes of ureteral stent and nephrostomy tube (NT) positioning for GI-related MUO from 2010 to 2020. We performed descriptive analysis, survival analysis, and uni- and multi-variate analysis. Results: We included 51 patients. NT was mainly used when bladder involvement occurred and when MUO revealed an ex novo cancer diagnosis. Survival was poorer in patients with new diagnoses and in those receiving no treatment after decompression. Moreover, MUO caused by upper-GI tumors was related to shorter overall survival. Conclusions: GI tumors causing MUO should be considered of poor prognosis. Treatment decisions should be weighted accurately by both specialists and the patient.

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Complications of percutaneous nephrostomy in a district general hospital

Abstract: printing of pelvic fracture urethral injuries-fusion of technology and urethroplasty.

Cited by 17 publications

References 16 publications

Percutaneous nephrostomy, feasibility of mid and anterior axillary line approach and its complications: an experience

Percutaneous nephrostomy, feasibility of mid and anterior axillary line approach and its complications: an experience

Broken and retained percutaneous nephrostomy malecot catheter: A lesson of awareness

Ureteral Stent and Percutaneous Nephrostomy in Managing Malignant Ureteric Obstruction of Gastrointestinal Origin: A 10 Years’ Experience

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