Radiation-free percutaneous nephrostomy performed on neonates, infants, and preschool-age children
| Autor: | Murat Atar, Tayfun Oktar, Necmettin Penbegül, Haluk Söylemez, Ahmet Ali Sancaktutar, Adnan Tüfek, Mehmet Nuri Bodakci, Yaşar Bozkurt, Hakan Önder, Namik Kemal Hatipoglu |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Blood transfusion Urinalysis Urology medicine.medical_treatment Urinary system Urine Sepsis Postoperative Complications Humans Medicine Blood Transfusion Child Ultrasonography Interventional Hematuria Nephrostomy Percutaneous Radiation medicine.diagnostic_test business.industry Infant Newborn Infant Complete blood count medicine.disease Surgery Catheter Percutaneous nephrostomy Child Preschool Urinary Tract Infections Pediatrics Perinatology and Child Health Female business Ureteral Obstruction |
| Zdroj: | Journal of Pediatric Urology. 9:464-471 |
| ISSN: | 1477-5131 |
| Popis: | Aim The aim of this study was to evaluate the effectiveness and safety of high-frequency linear probe ultrasonographic (US) guidance percutaneous nephrostomy (PN) in terms of diagnostic and therapeutic approach in preschool-age children with urological problems. Materials and methods PN was performed on 40 kidneys in 33 patients (13 girls, 20 boys) aged 3 days – 7 years (mean 4.1 years). All procedures were performed with US guidance utilizing a Shimadzu SDU 2200 Xplus 5–10 mHz probe. Complete blood count, urinalysis, bladder urine culture, blood urea, and creatinine values were obtained before PN placement on the same day. Urine cultures were obtained by nephrostomy tube and compared to bladder urine culture. Results PN procedures were technically successful in 39 kidney units (97.5%). Two major complications were macroscopic hematuria requiring blood transfusions (1 case) and sepsis (1 case). Minor complications were displacement of the catheter (4), urinary tract infection (4), urine extravasation (1), early dislocation of the catheter (1). In three cases, the catheter was replaced. Analysis of bladder urine showed that 13 patients (39.4%) had positive cultures, but analysis of PN urine showed that 25 patients (78.1%) had positive cultures. Conclusions PN is an easy, safe and efficient diagnostic and therapeutic procedure with few complications even in preschool-age children. The antibiotic regimen should be revised in order to avoid sepsis and urinary tract infection. |
| Databáze: | OpenAIRE |
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