Percutaneous Nephro-Pyelostomy in Cases of Ureteral Obstruction

M, Jonson; Lindberg, B; Risholm, L

doi:10.3109/00365597209132081

Cited by 23 publications

(2 citation statements)

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“…The presented results are comparable to those of other reports on percutaneous nephrostomies in which a placement failure rate of 0% to 18% has been reported (Jonsson, Lindberg & Risholm, 1972;Ulmsten & Molin, 1973). Stables et al, in a review of the literature in 1978, found a mean total placement failure frequency of 7 % (Stables, Ginsberg & Johnson, 1978).…”

Section: Discussionsupporting

confidence: 88%

Percutaneous Nephropyelostomy: A Procedure not without Complications

Kleist

Pettersson

Wikholm

1984

Scandinavian Journal of Urology and Nephrology

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One hundred and twenty-eight percutaneous nephrostomies performed in 81 patients between 1978 and 1981 were studied retrospectively. Placement failures were encountered in 9%, minor complications in 7% and major complications in 6%. Two deaths occurred in connection with the nephrostomies. Catheter complications, mainly catheter dislodgement, were observed in 30% of the cases. The importance of having strict indications and a good technique is emphasised.

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Section: Discussionsupporting

confidence: 88%

Percutaneous Nephropyelostomy: A Procedure not without Complications

Kleist

Pettersson

Wikholm

1984

Scandinavian Journal of Urology and Nephrology

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“…Dessas, a de maior incidência é o sangramento autolimitado, ocasionado pela punção inicial da agulha ou pelo uso do fio-guia quando o parênquima renal é ultrapassado 1,3,6,14 .…”

Section: Técnicaunclassified

Nefrostomia percutânea guiada por ultrassom: opção minimamente invasiva de acesso ao rim

Tobias-Machado

Scarpa

Machado

et al. 2011

Arq. Bras. Ciên. Saúde

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ResumoA nefrostomia percutânea guiada por ultrassom é uma técnica de derivação urinária alta para pacientes com obstrução ureteral bilateral e uremia pós-renal. Este procedimento é mais frequentemente direcionado através de imagem radioscópica. Tivemos por objetivo descrever nossa técnica de nefrostomia guiada por imagem ultrassonográfica como opção menos invasiva aprimorada após cinco anos de experiência. Paciente em pronação, administração de medicação pré-anestésica, inspeção ultrassonográfica com visão longitudinal do rim para localização do sistema coletor dilatado, de maneira que todo o rim seja visualizado na tela, demarcação na pele do local de punção adjacente ao probe no seu ponto médio. Realizou-se antissepsia, anestesia local com lidocaína, punção com agulha de Chiba sob visão do ultrassom no ponto demarcado com angulação de 15-30° com relação à imagem do probe no sentido de penetrar um cálice dilatado, observação ultrassonográfica da agulha dentro do sistema coletor, colocação fio-guia e dilatadores e, por fim, cateter de polietileno com fixação à pele e conexão à bolsa coletora. A aplicação desta técnica com passos padronizados se mostrou simples e rápida, de pronta aplicabilidade pelo urologista na prática diária, com baixo índice de complicações e com alto índice de sucesso.Palavras-chave: nefrostomia percutânea; ultrassom; derivação urinária; obstrução ureteral; uremia. AbstractPercutaneous nephrostomy guided by ultrasound is a high urinary derivation technique in post renal uremia and bilateral ureteral obstruction patients.This procedure is often guided by radioscopic imaging. Our goal is to describe our ultrasonographic guided nephrostomy method as a less invasive option improved in 5-year experience. Patients in prone position, infusion of pre-anestesic medication and ultrasonographic longitudinal kidney view to identify the expanded collector system in a way that the entire kidney can be seen on screen. After antisepsis and asepsis, local anesthesia with lidocaine Chiba's needle punction under ultrasound view of pre-defined point in 15-30° angulation according to the probe image to penetrate a dilated collecting system, ultrasonographic view of the needle inside the collecting system, placement of the lead and dilators and then fix the polyethylene catheter to the skin connected to a collecting bag. The use of this technique with standardized steps has been shown simple and fast, immediately applicable by the urologist with low complication and high success index.

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Ureteric Stents

Finney¹,

Hopkins²

1992

Clinical Practice in Urology

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Percutaneous Nephro-Pyelostomy in Cases of Ureteral Obstruction

Cited by 23 publications

References 1 publication

Percutaneous Nephropyelostomy: A Procedure not without Complications

Percutaneous Nephropyelostomy: A Procedure not without Complications

Nefrostomia percutânea guiada por ultrassom: opção minimamente invasiva de acesso ao rim

Ureteric Stents

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