How to stent the ureter after kidney transplantation in children?—A comparison of two methods of urinary drainage

Haar, Anuradha S. ter; Parekh, Rulan S.; Leunissen, Ralph W. J.; den, Joop van; Lorenzo, Armando J.; Hébert, Diane; Keijzer-Veen, Mandy G.; Cransberg, Karlien

doi:10.1111/petr.13065

Cited by 5 publications

(4 citation statements)

References 31 publications

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“…Although the catheter may be a source of infective or mechanical complications [ 25 ], we preferred to place a splint ureteric stent in all our patients, to monitor the urinary output of the transplanted kidney, and preserve the urinary anastomosis. A lower rate of complications was observed, when compared it with the double‐J stent [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Extraperitoneal kidney transplantation: a comparison between children weighting ≤15 kg and >15 kg. Experience of a single institution

et al. 2021

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Extraperitoneal approach is sometimes recommended for kidney transplantation (KT) in children weighting <15 kg. We hypothesized that this approach might be as successful as in patients with normal weight. Data of all consecutive KTs performed between 2013 and 2019 were retrospectively reviewed. Early outcomes and surgical complications were compared between children weighing ≤15 kg (low-weight (LW) group) and those weighing >15 kg (Normal-weight (NW) group). All the 108 KTs were performed through an extraperitoneal approach. The LW group included 31 patients (mean age 3.5 AE 1.4 years), whose mean weight was 11.1 AE 2.0 kg. In the LW group,-a primary graft nonfunction (PNGF) occurred in one patient (3.2%), surgical complications occurred in nine (29%), with four venous thrombosis. In the NW group, PNGF occurred in one case (1.3%), delayed graft function (DGF) in eight (10%), surgical complications in 11 (14%) with only one case of venous thrombosis. In both groups, no need for patch during wound closure and no wound dehiscence were reported. The extraperitoneal approach can be effectively used in LW children. No differences were observed in the overall complication rate (P = 0.10), except for the occurrence of venous thrombosis (P = 0.02). This might be related to patients' characteristics of the LW group.

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Section: Discussionmentioning

confidence: 99%

Extraperitoneal kidney transplantation: a comparison between children weighting ≤15 kg and >15 kg. Experience of a single institution

et al. 2021

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“…The median age and body weight at surgery were 11 (IQR 4. [3][4][5][6][7][8][9][10][11][12][13][14] years and 26 (13-50) kg, respectively. Forty-ve patients (47%) were females and fty-one (53%) were males.…”

Section: Populationmentioning

confidence: 99%

“…Several risk factors have been considered, including the surgical approach, the need for anticoagulants and for ureteral stenting [3][4][5]. Recently, human aspects, such as night-time or day-off surgery, have been investigated in the adult population [6].…”

Section: Introductionmentioning

confidence: 99%

Paediatric kidney transplantation: is it safe to perform during night-time or day-off?

GHIDINI,

ANDREETTA,

DE CORTI

et al. 2024

Preprint

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Purpose To investigate the impact of after-hours surgery on the outcomes of paediatric kidney transplantation (KT). Methods Medical records of paediatric KTs performed at a single institution between 2013 and 2021 were retrospectively reviewed. The population was split into three groups according to the incision time and calendar: ordinary day (8.00 AM – 6.30 PM), day-off, and night-time (6.30 PM – 8.00 AM). The following endpoints were compared: ischemia times, length of surgery, complications, delayed graft function (DGF), primary graft non function (PGNF) and eGFR at three-month follow-up. Results Ninety-six non-living donor KTs were performed, median age 11 (IQR 4.3-14) years and median body weight 26 (IQR 13-50) kg. Forty-one (43%) were performed during night-time and 28 (29%) during day-off. Ischemia times were similar (p=0.769, p=0.536). Day-off KTs presented an extended length of surgery (p=0.011). Thirty-two complications were reported in 31 KTs. No difference in the overall rate of complications, DGF, PNGF and three-month eGFR was found (p=0.669, p=0.383, p=0.949, p=0.093). Post-operative bleedings were more common in days-off (p=0.003). Conclusion The number of paediatric KTs performed during after-hours was considerable. Even though similar outcomes were reported, more caution should be focused on the KTs performed in days-off to avoid severe complications.

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“…Several risk factors have been considered, including the surgical approach, the need for anticoagulants and for ureteral stenting [ 3 – 5 ]. Recently, human aspects, such as night-time or day-off surgery, have been investigated in the adult population [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Pediatric kidney transplantation: is it safe to perform during night-time or day-off?

Ghidini,

Andreetta,

De Corti

et al. 2024

Pediatr Surg Int

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Purpose To investigate the impact of after-hours surgery on the outcomes of pediatric kidney transplantation (KT). Methods Medical records of pediatric KTs performed at a single institution between 2013 and 2021 were retrospectively reviewed. The population was split into three groups according to the incision time and calendar: ordinary day (8.00 AM – 6.30 PM), day-off, and night-time (6.30 PM – 8.00 AM). The following endpoints were compared: ischemia times, length of surgery, complications, delayed graft function (DGF), primary graft non-function (PGNF), and eGFR at three-month follow-up. Results Ninety-six non-living donor KTs were performed, median age 11 (IQR 4.3–14) years and median body weight 26 (IQR 13–50) kg. Forty-one (43%) were performed during night-time and 28 (29%) during day-off. Ischemia times were similar (p = 0.769, p = 0.536). Day-off KTs presented an extended length of surgery (p = 0.011). Thirty-two complications were reported in 31 KTs. No difference in the overall rate of complications, DGF, PNGF, and three-month eGFR was found (p = 0.669, p = 0.383, p = 0.949, p = 0.093). Post-operative bleedings were more common in days-off (p = 0.003). Conclusion The number of pediatric KTs performed during after-hours was considerable. Even though similar outcomes were reported, more caution should be focused on the KTs performed in days-off to avoid severe complications.

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How to stent the ureter after kidney transplantation in children?—A comparison of two methods of urinary drainage

Cited by 5 publications

References 31 publications

Extraperitoneal kidney transplantation: a comparison between children weighting ≤15 kg and >15 kg. Experience of a single institution

Extraperitoneal kidney transplantation: a comparison between children weighting ≤15 kg and >15 kg. Experience of a single institution

Paediatric kidney transplantation: is it safe to perform during night-time or day-off?

Pediatric kidney transplantation: is it safe to perform during night-time or day-off?

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