Day-Case Rigid and Flexible Ureteroscopy
| Autor: | R Lockyer, EJ Bromwich, SR Keoghane |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Ureteral Calculi Stone clearance Urology Treatment outcome Flexible ureteroscopy Kidney Calculi Patient Admission Ureteroscopy Humans Medicine Prospective Studies Prospective cohort study Aged medicine.diagnostic_test business.industry Urinary retention General Medicine Middle Aged Ambulatory Surgical Procedure Surgery Treatment Outcome Ambulatory Surgical Procedures Feasibility Studies medicine.symptom business |
| Zdroj: | The Annals of The Royal College of Surgeons of England. 89:526-528 |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/003588407x187676 |
| Popis: | INTRODUCTION The aim of this study was to evaluate the feasibility of rigid and flexible ureteroscopy as a day-surgery procedure. PATIENTS AND METHODS All patients requiring elective ureteroscopy from March 2004 were considered for a day-surgery procedure. The standard day-surgery exclusions existed but there were no urological criteria for exclusion. A single consultant urologist performed or supervised all procedures. RESULTS A total of 64 patients underwent 50 rigid and 14 flexible procedures. Six diagnostic ureteroscopies were performed. There was a 96% stone clearance rate. Five patients required an unplanned admission within the first 2 weeks' postoperatively. Three of these patients were admitted on the day of surgery, two for pain and one for social reasons. Two patients were admitted at 24 h and 48 h, respectively, for urinary retention. CONCLUSIONS Ureteroscopy, both rigid and flexible, is a safe procedure for the day-surgery setting. Routine use of prophylactic antibiotics, intravenous non-steroidal anti-inflammatory drugs resulted in an acceptable re-admission rate. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|