| Mini-incisions by lombotomy or subcostal access in living kidney donors: a randomized trial comparing pain, safety, and quality of life. | |
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MedLine Citation:
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PMID: 17425757 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The aim of this study was to compare two mini-incision techniques and judge the impact on the quality of life, pain, and safety of living kidney donors. PATIENTS AND METHODS: From March through September 2003, a prospective randomized study with 60 donors had nephrectomy performed - 30 through a lombotomy and another 30 patients underwent subcostal mini-incisions. The same anesthetic procedure was used for both groups. All patients were evaluated from baseline (T0) to day 90 after surgery. Pain evaluation included visual analog scale (VAS) and drug usage. To assess quality of life (QOL), the questionnaire SF-36 was used and surgical outcomes were also checked. RESULTS: Sixty patients (41.6 +/- 8.9 yr old) were included in the protocol. Regarding incision length and blood loss, no statistical difference was observed. However, irrespective to the site of the mini-incision, patients with body mass index (BMI) higher than 25 kg/m(2) had significantly longer incision length as well as higher blood loss. There were no complications. No significant difference in tramadol or in pain perception was observed between groups. QOL was also not different between groups, however, there was a significant loss with subsequent return to baseline levels. CONCLUSION: The position of the mini-incision (lombotomy or subcostal) has no significant impact on surgical outcomes, pain perception, and QOL of living kidney donors. Mini-incision techniques represent fast and safe approaches to perform nephrectomy in the healthy population. Special care must be taken in obese patients in order to minimize surgical complications. |
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Authors:
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Wilson Ferreira Aguiar; Carlo Camargo Passerotti; Joaquim Francisco de Almeida Claro; Claudio Jose Ramos Almeida; Nelson Gattas; Agnaldo Pereira Cedenho; Jose Osmar Medina Pestana; Valdemar Ortiz |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Clinical transplantation Volume: 21 ISSN: 0902-0063 ISO Abbreviation: Clin Transplant Publication Date: 2007 Mar-Apr |
Date Detail:
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Created Date: 2007-04-11 Completed Date: 2007-05-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8710240 Medline TA: Clin Transplant Country: Denmark |
Other Details:
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Languages: eng Pagination: 269-76 Citation Subset: IM |
Affiliation:
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Department of Urology, Universidade Federal de São Paulo-Escola Paulista de Medicina, São Paulo, Brazil. wfaguiar@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Body Mass Index Female Humans Kidney Transplantation* Living Donors Male Middle Aged Nephrectomy / methods* Pain Measurement Pain, Postoperative / epidemiology* Quality of Life Treatment Outcome |
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