Reinforcement for Percutaneous Nephrostomy Tubes with a New Technique

Zhou, Tong; Gao, Xiaofeng; Yang, Cheng; Peng, Yonghan; Xiao, Liang; Xu, Cheng; Wang, Linhui; Hou, Jian-Guo; Sun, Ying-hao

doi:10.1089/end.2010.0209

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…Zhou and colleges reported a new technique to reinforce the nephrostomy tube in 48 patients by using 2 cm long rubber drainage tube as the outer tube to encase the nephrostomy tube and suturing the longitudinal cutting edges together with the skin suture. This technique can significantly decrease the dislodgement incidence of nephrostomy tube (Zhou et al, 2011). 28,29 Prevention of nephrocutaneous fistula, a nephrostogram should show radio-opaque contrast medium passing freely down the ureter into the bladder.…”

Section: Discussionmentioning

confidence: 99%

Study of Proximal Drainage in the Management of Obstruction in the Urinary Tract

Kothari¹

2017

JMSCR

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Background: Obstructive nephropathy is a term describing the damage to the renal parenchyma that results from the obstruction to the flow of urine anywhere along the urinary system. Longterm obstruction causes chronic renal disease. Proximal drainage implies drainage of the urinary tract proximal to the site of obstruction. This may be unilateral or bilateral and may be classified as follows: Renal-nephrostomy, pelvic-pyelostomy, ureteralureterostomy, vesical-cystostomy and urethral-urethrostomy. The aim of the present work would be to analyse the cases needed such drainage procedure in six months period in a tertiary care teaching hospital, Indore. Methods: Proximal drainage operations done in series of 35 cases were standard nephrostomy, U-tube nephrostomy, percutaneous needle nephrostomy, end cutaneous ureterostomy, T-tube ureterostomy, and suprapubiccystostomy. Seven drainage operations were done for permanent diversion of urine, 22 as preparatory to subsequent corrective or palliative surgery and 8 as adjuvant with corrective surgery. Clinical findings, postoperative complaints and results of investigations were noted and both pre and post-operative findings were compared to assess the ultimate results of the surgical treatment. Results: In this series, bladder outlet obstruction comprised of 15 cases (42.85%) and ureteral obstruction comprised of 20 cases (57.14%), of which 1 case was due to carcinoma of the urinary bladder involving the ureteric orifices. Out of 9 cases of nephrostomy, 4 cases (44.44%) showed good result; 4 cases (44.44%) showed fair result and 1 case (11.11%) showed bad result. In 21 cases of T-tube ureterostomy, 15 cases (71.42%) showed good result; 3 cases (14.28%) showed fair result and 3 cases (14.28%) showed bad result. Out of the 6 cases of cutaneous ureterostomy, 4 cases (66.66%) showed good result; 1 cases (16.66%) showed fair result and 1 case (16.66%) showed bad result. Conclusion: Proximal drainage helps controlling infection, normalizing blood biochemistry, regression of back pressure changes, in a word improving renal function. Proximal drainage of urine should be done before irreversible damage to the renal parenchyma occurs.

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Section: Discussionmentioning

confidence: 99%

Study of Proximal Drainage in the Management of Obstruction in the Urinary Tract

Kothari¹

2017

JMSCR

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“…Tube dislodgment remains a significant problem in the care of patients undergoing biliary, abscess, and genitourinary drainage, with reported rates as high as 39% (1)(2)(3)(4)(5). Despite advances in tube design during the past several decades, little advance has been made in securement techniques, and few studies have been done.…”

Section: Discussionmentioning

confidence: 99%

“…Drainage tube dislodgment is a common complication of a commonly performed procedure, with reported rates as high as 39% (1)(2)(3)(4)(5). Dislodgment of tubes secured by using the traditional air knot technique (in which a suture is placed into the skin near the tube exit site and knotted, with the free ends of the knot wrapped around the tube and again tied to secure it) usually occurs as a result of suture erosion through the skin, requiring additional visits for resuturing or tube replacement.…”

mentioning

confidence: 99%

The Bumper Stitch for Drainage Tube Securement: Preliminary Study

Cohen

Mungiole

et al. 2012

Journal of Vascular and Interventional Radiology

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“…Zhou and coworkers 15 did devise a novel modification to Cope-like tubes to decrease dislodgment rates. They used a rubber drainage tube, cut it along its longitudinal axis, and then encased the nephrostomy tube with it.…”

Section: Nephrostomy Tube Dislodgment 291mentioning

confidence: 99%