Document Detail


Mechanical suction: an effective and safe method to remove large and tenacious clots from the urinary bladder.
MedLine Citation:
PMID:  21168195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe an alternative technique for removing tenacious and chronic clots by applying stronger suction pressure through the cystoscope sheath in patients who had failed clot evacuation using the traditional Ellik evacuator.
METHODS: In this method, either the 25-F cystoscope sheath or 26-F resectoscope sheath was directly attached with the tubing from centralized suction source, and moderate negative pressure (up to 250 mm Hg) was applied.
RESULTS: This technique was used in 15 adult patients with clot retention. Average duration for clot retention was 36.5 hours (range 22-60 hours). All patients were rendered clot free in an average operative period of 88 minutes (range 60-120 minutes). At the end of the procedure, apart from punctuate hemorrhagic spots on the bladder mucosa, no complications were encountered.
CONCLUSIONS: Clots that are old, large, and tenacious can be effectively and safely evacuated by applying moderate suction pressure from central suction source directly through the cystoscope sheath.
Authors:
Apul Goel; Vengetesh K Sengottayan; Amod Kumar Dwivedi
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Publication Detail:
Type:  Journal Article     Date:  2010-12-18
Journal Detail:
Title:  Urology     Volume:  77     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-07     Completed Date:  2011-03-23     Revised Date:  2011-09-20    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  494-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Department of Urology, Chattrapati Shahuji Maharaj Medical University (Upgraded King George’s Medical College), Lucknow-226003, Uttar Pradesh, India. goelapul1@rediffmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cystoscopy*
Female
Humans
Male
Middle Aged
Retrospective Studies
Suction / methods*
Thrombosis / pathology,  surgery*
Urinary Bladder Diseases / pathology,  surgery*
Comments/Corrections
Comment In:
Urology. 2011 Aug;78(2):485-6; author reply 486   [PMID:  21820599 ]
Urology. 2011 Jul;78(1):234; author reply 234   [PMID:  21712127 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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