RE: INFLUENCE OF TECHNIQUE OF PERCUTANEOUS TRACT CREATION ON INCIDENCE OF RENAL HEMORRHAGE

Autor: Ramin Davidoff, Gary C. Bellman
Rok vydání: 1998
Předmět:
Zdroj: Journal of Urology. 160:1438-1438
ISSN: 1527-3792
0022-5347
Popis: Purpose: Renal hemorrhage is one of the most common and worrisome complications of percutaneous renal surgery. We studied the incidence of renal hemorrhage and transfusion rates in patients undergoing balloon or Amplatz fascial dilation of the nephrostomy tract.Materials and Methods: Medical records of 143 patients who underwent 150 percutaneous renal procedures, including percutaneous nephrolithotomy, antegrade endopyelotomy and percutaneous treatment of stones in caliceal diverticula, were reviewed. The nephrostomy tract was dilated with balloon (50 patients) or Amplatz sequential (100) dilators. Perioperative decreases in hemoglobin level and blood transfusion rates were compared between the 2 groups.Results: Of the 100 patients undergoing percutaneous renal Amplatz dilation 25 (25%) required a blood transfusion, compared to only 5 of 50 (10%) undergoing balloon dilation. The difference in the transfusion rates between the 2 groups was statistically significant (p = 0.048).Conclusions: Improvem...
Databáze: OpenAIRE