Determinants of Nephrostomy Tube Dislodgment After Percutaneous Nephrolithotomy

Bayne, David; Taylor, Eric R.; Hampson, Lindsay A.; Chi, Thomas; Stoller, Marshall L.

doi:10.1089/end.2014.0387

Cited by 15 publications

(10 citation statements)

References 14 publications

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“…Exit strategies are of particular importance in the superobese patient as nephrostomy tube dislodgement is common. 28 Since secondary PCNL is performed in more than one third of these patients, durable access to the collecting system is vital. Efforts to position the 10F Cope loop in a polar calix opposite that which was punctured, rather than the renal pelvis, may limit tube expulsion and routine placement of a 5F catheter down the ipsilateral ureter.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Nephrolithotomy in the Superobese: A Comparison of Outcomes Based on Body Mass Index

Dauw

Borofsky

York

et al. 2016

Journal of Endourology

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Introduction: Percutaneous nephrolithotomy (PCNL) is considered the gold standard for treatment of large renal calculi. Although several investigators have examined the feasibility and outcomes associated with PCNL in obese patients, these studies have been limited by small sample size, lack of a comparator group, or few patients at body mass index (BMI) extremes. We thus compared outcomes of superobese (BMI >50) patients undergoing PCNL vs both an ''overweight'' and ''ideal'' cohort. Methods: We used a prospectively maintained database to identify ideal (BMI 18.5-25), overweight (BMI 25.1-49.9), and superobese (BMI ‡50) patients who underwent PCNL. Our primary objective was to compare surgical outcomes between groups measured by the percent of patients who required secondary PCNL. We then compared complication rates, need for transfusion, and length of stay (LOS) using chi-square testing and ANOVA where appropriate. Results: A total of 1152 patients were identified of which 254 were classified as ideal, 840 as overweight, and 58 as superobese. The overweight cohort had a higher mean age and greater proportion of males, whereas staghorn stones were more common in the superobese group. Comorbid conditions were more commonly observed in the superobese cohort. Otherwise, the groups were similar. Surgical outcomes were comparable with 47.2%, 42.0%, and 38.0% of ideal, overweight, and superobese patients requiring secondary PCNL ( p = 0.25) with no difference in complication rates, need for transfusion, or LOS. Conclusion: PCNL can be effectively and safely performed in superobese patients with no difference in surgical outcomes or complications when compared to ideal or overweight patient cohorts.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Nephrolithotomy in the Superobese: A Comparison of Outcomes Based on Body Mass Index

Dauw

Borofsky

York

et al. 2016

Journal of Endourology

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“…Many factors may influence the likelihood of tube dislodgment and entrapment such as body mass index of patint, distance from skin to the collecting system, degree of hydronephrosis, and factors related to the instrument of drainage. Ideal nephrostomy tube should be durable and able to maintain a stable position within the collecting system; resist kinking in and outside the body; allow for urine, blood/ clots, and stone debris to exit the body; and minimize patient discomfort [8] . So this case study is one lesson for surgeons to avoid a complication that may be extra burden for patients in mental and financial manner.…”

Section: Discussionmentioning

confidence: 99%

Broken and retained percutaneous nephrostomy malecot catheter: A lesson of awareness

Hasan¹,

Kundu²,

Yadav³

et al. 2019

Int. J. Surg. Sci.

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After the first description of percutaneous nephrostomy (PCN) in 1955 by Goodwin et al. it has become commonest & well-tolerated procedure. It is now well-established technique for urinary drainage, urinary diversion, and for access to the collecting system. But it is not free of complications. Significant hemorrhage, perforation of the intra-abdominal organs & septicemia are among the major complications and minor complications mostly catheter-related like catheter dislodgment, hematuria catheter site infection & catheter blockage are mentioned in literature. Although far from being life-threatening, broken and retained nephrostomy catheter is a rare complication. We report such a rare case of a broken and retained Malecot nephrostomy catheter which was retrieved by percutaneous nephrostomy surgery and by open method.

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“…However, the choices of NTs were only Malecot, Cope loop, and Foley, without mentioning the circle NT as a secure option. 17 …”

Section: Discussionmentioning

confidence: 99%

The Circle Nephrostomy Tube: An Attractive Nephrostomy Drainage System Following Complex Percutaneous Nephrolithotomy

Tayeb

Borofsky

Lingeman

2017

Urology

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OBJECTIVE To describe our experience with the circle nephrostomy tube (NT) (Cook Medical), a drainage system uniquely designed for use after multiple-access percutaneous nephrolithotomy (PNL). METHODS A retrospective review of 1317 consecutive patients undergoing 1599 PNLs at IU Health Methodist Hospital was performed. All multiple access cases utilizing circle NTs were reviewed and analyzed. The method of insertion of circle NT was demonstrated. RESULTS A total of 1843 accesses were obtained in 1599 renal units (RUs): 380 upper pole, 129 interpolar, and 1334 lower pole. Multiple accesses in this series were required in 282 RUs (17.6%). Following multiple-access PNL, circle NTs, Cope loop, and reentry Malecot NTs were inserted in 91 RUs (32.3%), 208 RUs (73.8%), and 31 RUs (11%), respectively. None of the patients who had circle NT experienced clogging, dislodgement, or obstruction of the tube. The cost of circle, Cope loop, and Malecot NTs are 121.73 USD, 95.20 USD, and 81 USD, respectively. CONCLUSION Circle NTs are easy to insert, secure, cost-effective compared with inserting two NTs. Circle NTs provide excellent drainage and facilitate secondary procedures.

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Determinants of Nephrostomy Tube Dislodgment After Percutaneous Nephrolithotomy

Abstract: Background and

Cited by 15 publications

References 14 publications

Percutaneous Nephrolithotomy in the Superobese: A Comparison of Outcomes Based on Body Mass Index

Percutaneous Nephrolithotomy in the Superobese: A Comparison of Outcomes Based on Body Mass Index

Broken and retained percutaneous nephrostomy malecot catheter: A lesson of awareness

The Circle Nephrostomy Tube: An Attractive Nephrostomy Drainage System Following Complex Percutaneous Nephrolithotomy

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