Indwelling and transrenal splint techniques for pyeloplasty

Maár, K; Meridies, R; Dettmar, H

doi:10.1016/0090-4295(76)90045-5

Cited by 5 publications

(1 citation statement)

References 3 publications

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“…The aim of stenting is to allow healing of the renal pelvis to occur while preventing anastomotic leaks and maintaining anastomotic patency. Many types of diversion have been described using a nephrostomy and separate transrenal ureteric stent [4] although more recently in adults the JJ catheter has been widely used [5,6].…”

Section: Discussionmentioning

confidence: 99%

Complications and length of hospital stay following stented and unstented paediatric pyeloplasties

Hussain

Frank

1994

British Journal of Urology

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Objectives To ascertain the necessity for the use of nephrostomies and ureteric stents after paediatric pyeloplasties. Patients and methods Seventy children with a pelviureteric junction obstruction underwent a dismembered pyeloplasty between March 1983 and March 1991 at The Bristol Royal Hospital for Sick Children. A nephrostomy and stent were not used routinely except for the first few months of the survey. Indications for their use were: surgery on a single kidney, an inflamed renal pelvis or a revision pyeloplasty. Urinary catheters were only used for those patients with proven or suspected vesicoureteric reflux. Results Thirteen patients had a nephrostomy and stent inserted (Group 1) of whom three patients (23%) developed complications. Fifty‐seven patients had only a wound drain inserted (Group 2) of whom nine (16%) developed complications. The hospital stay of 12.1 days for patients in Group 1 was significantly longer than the 5.4 days for Group 2 (P value <0.05). Long‐term radiological and/or radio‐isotopic follow‐up showed improvement in function and/or drainage in 95% of both groups. Conclusions These findings support the concept that paediatric pyeloplasties can be safely performed at any age without the insertion of a nephrostomy tube or stent and that hospital stay is therefore significantly reduced.

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Section: Discussionmentioning

confidence: 99%