Complications after bladder augmentation in children
| Autor: | Inalda Facincani, Marcelo Ferreira Cassini, Murilo Ferreira de Andrade, Gilson José de Lima, Silvio Tucci Júnior, Carlos Augusto Fernandes Molina |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent Neurogenic bladder RD1-811 Urinary system Urinary Bladder Perforation (oil well) 030232 urology & nephrology Renal function Vesicoureteral reflux COMPLICAÇÕES PÓS-OPERATÓRIAS 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors medicine Humans Bladder augmentation Child Children Urinary shunt Retrospective Studies business.industry Spina bifida Urinary Bladder Diseases Reproducibility of Results medicine.disease Surgery Bladder exstrophy Treatment Outcome Child Preschool 030220 oncology & carcinogenesis Urologic Surgical Procedures Female Ureter Urinary Catheterization business Urethral valve Follow-Up Studies |
| Zdroj: | Acta Cirurgica Brasileira, Vol 31, Iss suppl 1, Pp 8-12 (2016) Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Acta Cirurgica Brasileira, Volume: 31 Supplement 1, Pages: 12-8, Published: 2016 Acta Cirúrgica Brasileira v.31 suppl.1 2016 Acta Cirúrgica Brasileira Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC |
| ISSN: | 0102-8650 |
| Popis: | PURPOSE : Bladder augmentation is an effective surgical procedure for increasing bladder capacity and reducing pressure on the urinary system. It is indicated for patients with anomalies such as spina bifida, myelomeningocele, urethral valve and bladder exstrophy, who progress with low tolerance of medication. CASES : This was a retrospective study conducted on pediatric patients submitted to bladder augmentation from 2000 to 2011. RESULTS : 34 patients aged 4 to 17 years were submitted to bladder augmentation, 30 of them with an ileal loop and 4 with a ureter.A continent urinary shunt was performed in 16 patients, the Mitrofanoff conduit was associated in 15, and the Macedo technique was used in one. Mean follow-up was 34.35 months (1 to 122 months). Mean creatinine was 1.5 ng/ml (0.4 to 7.5 ng/ml) preoperatively and 1.78 ng/ml postoperatively. Three patients required a renal transplant during follow-up. There was improvement or resolution of vesicoureteral reflux in 83.5% of the kidneys on the right and in 75% on the left. Bladder capacity increased, on average, from 152.5 ml to 410 ml. The main complications were vesical lithiasis in 3 patients and conduit perforation in one. CONCLUSION : Bladder augmentation showed good results in this series, preserving renal function in most of the patients. |
| Databáze: | OpenAIRE |
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