One day hospitalization after open, double-J stented pyeloplasty

Özdemir, Tunç; Arikan, Ahmet

doi:10.1007/s12519-010-0225-9

Cited by 7 publications

(13 citation statements)

References 12 publications

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“…18 In contrast, some authors stated that the nonstented group had a shorter hospital stay than the stented group. 8,12,14,15,[23][24][25][26][27] However in our study the length of stay for both stented and non-stented patients was nearly the same (3 days) ( Table 2). Most of the patients in our study were from rural area and were poor economically, so we kept the patients in ward until perinephric drain was removed.…”

Section: Discussionmentioning

confidence: 73%

“…Some authors reported similar results with a shorter hospital stay in the stented group. 3,[18][19][20][21][22][23] Elmalik et al also explained this difference on the basis of keeping patients with PUL (urinoma) in patient. 18 In contrast, some authors stated that the nonstented group had a shorter hospital stay than the stented group.…”

Section: Discussionmentioning

confidence: 99%

“…18 The rate of infections increased with stent use and in patients who have PUL (urinoma). 2,8,21,23,28,29 Özdemir and Arikan had no UTI in their stented patients where they used antibiotic prophylaxis until the stents were removed. 23 In the literature, PUL is more common in the non stented repairs.…”

Section: Discussionmentioning

confidence: 99%

“…2,8,21,23,28,29 Özdemir and Arikan had no UTI in their stented patients where they used antibiotic prophylaxis until the stents were removed. 23 In the literature, PUL is more common in the non stented repairs. 3,8,12,18,21,23 In accordance with Arda et al in their study, there was no statistically significant difference regarding urine leakage through the perinephric drain in the stented and nonstented groups (Table 7).…”

Section: Discussionmentioning

confidence: 99%

“…23 In the literature, PUL is more common in the non stented repairs. 3,8,12,18,21,23 In accordance with Arda et al in their study, there was no statistically significant difference regarding urine leakage through the perinephric drain in the stented and nonstented groups (Table 7). 13 The rate of PUL (urinoma) was 14% in Liss et al study.…”

Section: Discussionmentioning

confidence: 99%

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A comparative study of outcome of pyeloplasty in stented and non-stented children

2019

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Background: It is a matter of debate whether to use a stent (double J) or not during pyeloplasty in patients of pelvic ureteric junction obstruction (PUJ obstruction). This study was conducted to assess which technique- stented or non-stented is better for paediatric patients with PUJ obstruction.Methods: 45 paediatric patients aged 0-12 years were included in this prospective comparative simple randomized sample study during the period of June 2015 to August 2017 in paediatric surgery division of department of surgery in M.Y. Hospital, Indore. All patients except one underwent open A-H dismembered pyeloplasty. The parameters used for comparison were renal parenchymal diameter, renal pelvis AP diameter, GFR (by DTPA scan) and rate of complications. Minimum follow up period was 3 months.Results: The M:F ratio was 2:1. Stented children had significant improvement in renal parenchymal diameter (i.e. increase) and GFR (of affected kidney) after pyeloplasty, whereas non-stented children too had improvement in renal parenchymal diameter and GFR (affected kidney) but was not significant. The percentage of postoperative complications were more in non-stented group as compared to stented group.Conclusions: In all paediatric cases with PUJO undergoing A-H pyeloplasty, both stenting and non-stenting have similar results and to place a double J stent should depend on choice of surgeon.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

A comparative study of outcome of pyeloplasty in stented and non-stented children

2019

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Duration of urinary leakage after open non-stented dismembered pyeloplasty in pediatric patients

Liss

Olsen

Roelof

et al. 2013

Journal of Pediatric Urology

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A Comparative Study of Outcome of Pyeloplasty in Stented and Non Stented Children with Puj Obstruction

Laddha¹,

Khare²,

Lahoti³

et al. 2018

J Surg Anesth

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Introduction:It is a matter of debate whether to use a stent (double J) or not during pyeloplasty in patients of puj obstruction. This study was conducted to assess which technique-stented or non-stented is better for paediatric patients with puj obstruction. Materials and method: 45 paediatric patients aged 0-12 years were included in this prospective comparative simple randomized sample study during the period of june 2015 to august 2017 in paediatric surgery division of department of surgery in M.Y. Hospital, Indore. The M:F ratio was 2:1. All patients except one underwent open A-H Dismembered Pyeloplasty. The parameters used for comparison were:-• Renal parenchymal diameter • Renal pelvis AP diameter • GFR (by DTPA scan) • Rate of complications.Minimum follow up period was 3 months.Result: Stented children had significant improvement in renal parenchymal diameter (i.e. increase) and GFR (of affected kidney) after pyeloplasty whereas non-stented children too had improvement in renal parenchymal diameter and GFR (affected kidney) but was not significant. The percentage of post-operative complications were more in non-stented group as compared to stented group. Conclusion:In all paediatric cases with pujo undergoing A-H pyeloplasty, a double J stent should be placed.

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One day hospitalization after open, double-J stented pyeloplasty

Abstract: Transanastomotic stenting with double-J catheter is recommended as the reasonable mode of drainage in open pyeloplasty in pediatric patients.

Cited by 7 publications

References 12 publications

A comparative study of outcome of pyeloplasty in stented and non-stented children

A comparative study of outcome of pyeloplasty in stented and non-stented children

Duration of urinary leakage after open non-stented dismembered pyeloplasty in pediatric patients

A Comparative Study of Outcome of Pyeloplasty in Stented and Non Stented Children with Puj Obstruction

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