Can Standard Open Pediatric Urological Procedures Be Performed on an Outpatient Basis?

Sprunger, Jason K.; Reese, Carl T.; Decter, Ross M.

doi:10.1016/s0022-5347(05)65921-6

Cited by 36 publications

(14 citation statements)

References 6 publications

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“…Only children with lack of improvement in hydronephrosis underwent diuretic nuclear renography. 13 We assessed the primary outcome, intra-and postoperative complications (subdivided by timing before and after 3 months), and severity of complication according to the Clavien-Dindo Classification system. 14 Ethics approval for this study was obtained by our institutional Research Ethics Board.…”

Section: Methodsmentioning

confidence: 99%

Impact of drainage technique on pediatric pyeloplasty: Comparative analysis of externalized uretero-pyelostomy versus double-J internal stents

Lee

Kanaroglou

Gleason

et al. 2015

CUAJ

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Introduction: Pediatric pyeloplasty with double J (DJ) stent drainage requires manipulation of the uretero-vesical junction (UVJ) and a second anesthetic for removal. Externalized uretero-pyelostomy (EUP) stents avoid these issues. We report outcomes of laparoscopic and open pyeloplasty with EUP compared to DJ stents in children. Methods: We retrospectively reviewed 76 consecutive children who underwent pyeloplasty for ureteropelvic junction (UPJ) obstruction over a 1-year period by 5 pediatric urologists at a single institution. The exclusion criteria included patients with concomitant urological procedures, other urinary drainage strategies, "stentless" pyeloplasty or patients without follow-up data. Based on surgeon preference, 24 patients had a EUP stent and 38 had a DJ stent placed. Results: The mean follow-up was 23.8 ± 10.9 months and 21.1 ± 11.1 months for the EUP and DJ stent groups, respectively (p = 0.32). The mean age was 40 ± 54 months and 80 ± 78 months for the EUP and DJ groups, respectively (p = 0.04). The EUP group had a greater proportion of open pyeloplasties (n = 17, 71%) versus the DJ group (n = 16, 42%; p = 0.04). There were no statistically significant differences in operative time, length of stay, and overall complication rate between groups. Complications were divided by timing of complication (intraoperative, before and after 3 months) and according to the Clavien Classification system. There were no statistically significant differences between these subgroups. The limitations of this study include small sample size, potential selection bias, and heterogeneity between both study groups. Conclusions: Pyeloplasty using EUP stents does not incur prolonged operative time, longer length of stay or higher complication rate when compared to DJ stents. Within the limitations of this study, EUP stents may be a safe alternative to DJ stents.

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Section: Methodsmentioning

confidence: 99%

Impact of drainage technique on pediatric pyeloplasty: Comparative analysis of externalized uretero-pyelostomy versus double-J internal stents

Lee

Kanaroglou

Gleason

et al. 2015

CUAJ

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“…C'est dire l'important potentiel qui existe au sein de nos structures. Le recueil d'événements indésira-bles et la politique d'amélioration continue de la qualité et de la gestion du risque chirurgical devraient permettre dans les années à venir d'élargir les indications de la chirurgie ambulatoire [30] et de la proposer avec sécurité à des patients de plus en plus jeunes.…”

Section: Discussionunclassified

Étude comparative de la faisabilité et des limites de la chirurgie ambulatoire chez le nourrisson et chez l'enfant de plus d'un an

Kalfa

Forgues

Rochette

et al. 2004

Annales de Chirurgie

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“…The open technique has a success rate of more than 90%. 2 Open procedures usually require a hospital stay of 1 to 6 days, but Sprunger et al 3 found that standard open pediatric procedures could be performed safely on an outpatient basis.…”

Section: Intravesical Proceduresmentioning

confidence: 99%

“…Caudal anesthesia minimizes the need for inhalation agents, and therefore decreases the occurrence of postoperative nausea and vomiting. 3 …”

Section: Intraoperative Carementioning

confidence: 99%

See 1 more Smart Citation

A Critical Pathway for Successful Outpatient Ureteral Reimplantation: A Nursing Perspective

Hedman¹,

Palmer²

2009

Journal of PeriAnesthesia Nursing

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Can Standard Open Pediatric Urological Procedures Be Performed on an Outpatient Basis?

Abstract: Our experience shows that standard open pediatric urological procedures may be performed safely and comfortably on an outpatient basis.

Cited by 36 publications

References 6 publications

Impact of drainage technique on pediatric pyeloplasty: Comparative analysis of externalized uretero-pyelostomy versus double-J internal stents

Impact of drainage technique on pediatric pyeloplasty: Comparative analysis of externalized uretero-pyelostomy versus double-J internal stents

Étude comparative de la faisabilité et des limites de la chirurgie ambulatoire chez le nourrisson et chez l'enfant de plus d'un an

A Critical Pathway for Successful Outpatient Ureteral Reimplantation: A Nursing Perspective

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