Objetive: In this study, we aimed to evaluate the efficiency and advantages of percutaneous ne- phrostomy (PN) catheter insertion through the trocar method in pediatric patients with US guid- ance and without using contrast matter and X-ray.
Material and Methods: This study included a total of 48 PN insertions in 41 patients between September 2016 and December 2019. Medical re- cords of the patients were retrospectively assessed and anesthesia and procedure durations, compli- cations, hospitalization and catheterization durations, and pre and post-treatment blood urea and creatinine levels were evaluated.
Results: Of the PN inserted patients, 36.59% were female (n=15) and 63.41% (n=26) male with ages changing between 1 day and 2100 days (70 months). Of the nephrostomy installed kidneys, 35.42% (n=17) had grade II and 64.58% had (n=31) grade III hydronephrosis. The whole op- eration was successfully performed in the first session (100%). In addition to the technical suc- cess, clinical success was also observed with the decrease in serum urea, creatinine and leukocyte levels. None of our cases had major complications. During the first 24 hours of postoperative period, 25 patients (52.08%) had self-limiting mild hema- turia.
Conclusion: Shortened anesthesia duration, non-requirement of general anesthesia and thus minimization of many anesthesia-related compli- cations constitute one of the advantages provided by US-guided trocar method PN. US-guided trocar method PN is a reliable, easy, low-cost and quick method in selected patients with low rates of complication and high rates of success.
Keywords: Percutaneous Nephrostomy, Ultrasound Guided, Pe- diatric Patients
ABSTRACT
Objetive: In this study, we aimed to evaluate the efficiency and advantages of percutaneous ne- phrostomy (PN) catheter insertion through the trocar method in pediatric patients with US guid- ance and without using contrast matter and X-ray.
Material and Methods: This study included a total of 48 PN insertions in 41 patients between September 2016 and December 2019. Medical re- cords of the patients were retrospectively assessed and anesthesia and procedure durations, compli- cations, hospitalization and catheterization durations, and pre and post-treatment blood urea and creatinine levels were evaluated.
Results: Of the PN inserted patients, 36.59% were female (n=15) and 63.41% (n=26) male with ages changing between 1 day and 2100 days (70 months). Of the nephrostomy installed kidneys, 35.42% (n=17) had grade II and 64.58% had (n=31) grade III hydronephrosis. The whole op- eration was successfully performed in the first session (100%). In addition to the technical suc- cess, clinical success was also observed with the decrease in serum urea, creatinine and leukocyte levels. None of our cases had major complications. During the first 24 hours of postoperative period, 25 patients (52.08%) had self-limiting mild hema- turia.
Conclusion: Shortened anesthesia duration, non-requirement of general anesthesia and thus minimization of many anesthesia-related compli- cations constitute one of the advantages provided by US-guided trocar method PN. US-guided trocar method PN is a reliable, easy, low-cost and quick method in selected patients with low rates of complication and high rates of success.
Keywords: Percutaneous Nephrostomy, Ultrasound Guided, Pe- diatric Patients