Rapid percutaneous nephrostomy catheter placement in neonates with the trocar technique - 29/03/17
, O. Koc a, H. Karakus a
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Abstract |
Purpose |
The purpose of this study was to assess the efficacy of a modified percutaneous nephrostomy procedure for grade III–IV hydronephrosis in neonates.
Material and methods |
Eleven neonates (five girls, six boys) with a mean age of 13.7days±9.9 (SD) (range, 4–28days) with pronounced hydronephrosis had percutaneous nephrostomy using a modified procedure. In all patients, percutaneous nephrostomy was performed with a trocar catheter under ultrasound guidance and then the catheter was placed into the collecting system without prior dilatation.
Results |
Technical success was achieved in all patients. There were no major procedure-related complications. There was no perirenal hematoma on control ultrasound examinations and no hematuria was observed after the procedure. The median drainage time was 75days (range: 42–120days). Two children had urinary tract infection, which was controlled by using antibiotics.
Conclusion |
The trocar nephrostomy is a practical and feasible method, which can be used for neonates with grade III–IV hydronephrosis.
Le texte complet de cet article est disponible en PDF.Keywords : Hydronephrosis, Neonate, Percutaneous nephrostomy, Trocar technique, Interventional imaging
Plan
Vol 98 - N° 4
P. 315-319 - avril 2017 Retour au numéro
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