Urologic-Induced Complications of Prophylactic Ureteral Localization Stent Placement for Colorectal Surgery Cases

Pathak, R. S.; Taylor, Abby S.; Alford, Scott; Broderick, Gregory A.; Igel, Todd C.; Petrou, Steven; Wehle, Michael J.; Young, Paul R.; Thiel, David D.

doi:10.1089/lap.2015.0345

Cited by 32 publications

(19 citation statements)

References 13 publications

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“…Arjona-Sanchez et al reported a similar association to our study. The authors speculated that the combination of residual hydronephrosis from the ureteral stents, mucosal oedema, clots and renal hypoperfusion could explain the increased risk of renal injury [27]. Reflex anuria has been described as a cause of renal injury [28].…”

Section: Discussionmentioning

confidence: 99%

Identification of risk factors associated with postoperative acute kidney injury after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy: a retrospective study

Cata

Zavala

Meter

et al. 2017

International Journal of Hyperthermia

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Section: Discussionmentioning

confidence: 99%

Identification of risk factors associated with postoperative acute kidney injury after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy: a retrospective study

Cata

Zavala

Meter

et al. 2017

International Journal of Hyperthermia

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“…Hematuria occurs in almost 100% of patients, especially if infrared (IR)/lighted catheters are utilized. [57][58][59] Given the high rate of hematuria with IR catheters, some authors express concern about thermal injury to ureters with risk of subsequent scarring, 57 although, to date, there are no such injuries reported. Postoperative urinary tract infection (UTI) is linked to stent placement, occurring 0 to 5% of the time 57,58 ; however, PUSP was not independently associated with higher rates of UTI in an NSQIP cohort undergoing colectomy.…”

Section: Ureteral Stentsmentioning

confidence: 99%

“…Stent placement is required for both conditions. 59 Our group selectively utilizes PUSP for high-risk procedures and patients based on imaging and diagnosis.…”

Section: Ureteral Stentsmentioning

confidence: 99%

Complicated Diverticular Disease

Coakley

Davis

Kasten

2020

Clin Colon Rectal Surg

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The modern management of colonic diverticular disease involves grouping patients into uncomplicated or complicated diverticulitis, after which the correct treatment paradigm is instituted. Recent controversies suggest overlap in management strategies between these two groups. While most reports still support surgical intervention for the treatment of complicated diverticular disease, more data are forthcoming suggesting complicated diverticulitis does not merit surgical resection in all scenarios. Given the significant risk for complication in surgery for diverticulitis, careful attention should be paid to patient and procedure selection. Here, we define complicated diverticulitis, discuss options for surgical intervention, and explain strategies for avoiding operative pitfalls that result in early and late postoperative complications.

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“…13 Although overall safe, significant morbidity has been reported with ureteral catheter placement, and judicious usage is advised. 14,15 A recently published survey of the NSQIP database found that prophylactic catheters were placed in 4.9% of colectomies, most commonly for diverticulitis. On multivariate analysis, it was found that ureteral catheter placement did significantly decrease ureteral injury rate, while diverticular disease, T4 malignancy, and an open approach all increased risk.…”

Section: Preventative Measuresmentioning

confidence: 99%

Urological Injuries during Colorectal Surgery

Ferrara

Kann

2019

Clinics in Colon and Rectal Surgery

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The proximity of the colon and rectum to the organs of the urologic system virtually ensures that iatrogenic urologic injuries become a distinct possibility during complex colorectal surgical procedures. An intimate knowledge of urogenital anatomy as well as strategies for identification and repair of potential injuries is of paramount importance. Attention is mandated when operating within the narrow confines of the pelvis, as this is where these structures are most at risk. The ureters are at highest risk of injury, followed by the bladder and urethra. The nature of these injuries encompasses both functional and mechanical morbidities. Patient factors, including prior pelvic surgery, radiation, inflammatory bowel disease, infectious processes, and urogenital abnormalities all increase the risk of injury. As colorectal surgeons encounter an increasing number of patients with the above risk factors, it is important to be familiar with the various urologic injury patterns, their diagnosis, and appropriate management.

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Urologic-Induced Complications of Prophylactic Ureteral Localization Stent Placement for Colorectal Surgery Cases

Abstract: The incidence of Clavien grade III urologic-induced complications during PULSe placement is approximately 2% (4/188). Mandatory adoption of fluoroscopy and guidewires may be required to minimize complications of PULSe placement.

Cited by 32 publications

References 13 publications

Identification of risk factors associated with postoperative acute kidney injury after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy: a retrospective study

Identification of risk factors associated with postoperative acute kidney injury after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy: a retrospective study

Complicated Diverticular Disease

Urological Injuries during Colorectal Surgery

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