Optimum duration of J.J. stenting in live related renal transplantation
| Autor: | Balbir S Verma, Mahendra Bhandari, Aneesh Srivastava, Rakesh Kapoor, Anant Kumar |
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| Jazyk: | angličtina |
| Rok vydání: | 2002 |
| Předmět: | |
| Zdroj: | Indian Journal of Urology, Vol 19, Iss 1, Pp 54-57 (2002) |
| Druh dokumentu: | article |
| ISSN: | 0970-1591 1998-3824 |
| Popis: | Purpose: Ureterovesical anastomosis related compli-cations might cause significant morbidity, allograft loss and even mortality. Routine prophylactic JJ stenting against these complications though controversial seems to be gaining literature support. - ′ There is no consensus as to the optimum duration of stenting and various stud-ies report stenting for 1 week to 3 months. This study was conducted to know the optimum duration of JJ stenting in renal transplantation. Material and Methods: 52 (group 1) live related renal transplant recipients, stented for 2 weeks were compared to 57 (group 2) historical controls (from our previous study 5), stented for 4 weeks. A 16 cm/6F polyurethane JJ stent was left across the ureteroneocvstostomy performed by Lich Gregoir technique. The stent was removed under local anesthesia within same admission in group 1 and in second admission in group 2. Both groups received simi-lar antibiotics and bnmunosuppression and were moni-tored for urological complications. Results: There was no major urological complication requiring surgical intervention in either group. The inci-dence of minor complications resolving with conservative management was also similar in the 2 groups. There were 2 ,forgotten stents in group 2 (badly encrusted and removed at 3 years and 11 months respectively). The second ad-mission in group 2 for stent removal incurred extra cost as it was done in the routine operation theatre to avoid infection. Conclusions: Reducing the duration of stenting from 4 weeks to 2 weeks avoids complications associated with pro-longed use of stent without compromising the beneficial ef-′ feats of stent in preventing the urological complications. It obviates the risk of forgotten stent as well as curtails the cost of second admission for stent removal. |
| Databáze: | Directory of Open Access Journals |
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