| Ocular complications after open and hand-assisted laparoscopic donor nephrectomy. | |
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MedLine Citation:
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PMID: 20573378 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To compare the incidence of ocular complications (OC) and corneal abrasion (CA) after hand-assisted laparoscopic donor nephrectomy (HALDN) and open donor nephrectomy (ODN). METHODS: A retrospective review was conducted of 241 consecutive patients (141 HALDN and 100 ODN) over a 9-year period. OC were strictly defined as ocular complaints requiring any treatment or ophthalmologic consultation. Chi-square tests were used to compare the incidence of OC and CA by type of surgery. RESULTS: OC were observed in 9 HALDN patients (6.4%) and no ODN patients (0%; P = .01). All OC in HALDN patients involved the dependent eye (P <.001). CA occurred in 2 HALDN patients (1.4%) compared with no ODN patients (0%; P = .23). HALDN patients had significantly higher net fluid intake than the ODN patients (P <.01). CONCLUSIONS: The increased OC and CA seen in HALDN patients may result from the increased fluid intake, flank positioning, and potential increased venous compression resulting from the effects of the pneumoperitoneum. The fact that the dependent eye was involved in all patients suggests conjunctival edema as a potential common pathway. The high frequency of OC suggests the importance of techniques to minimize OC after HALDN. |
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Authors:
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Jeffrey L Koning; Lesli I Nicolay; Forrest Jellison; Jonathan P Heldt; Jennifer A Dunbar; D Duane Baldwin |
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Publication Detail:
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Type: Journal Article Date: 2010-06-22 |
Journal Detail:
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Title: Urology Volume: 77 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-03 Completed Date: 2011-01-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 92-6 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Urology, Loma Linda University Medical Center, Loma Linda, California, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Corneal Diseases / epidemiology, etiology Eye Diseases / epidemiology*, etiology* Humans Incidence Laparoscopy / adverse effects* Nephrectomy / adverse effects*, methods* Retrospective Studies Tissue Donors* |
| Comments/Corrections | |
Comment In:
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Urology. 2011 Jan;77(1):96-7; author reply 97
[PMID:
21195826
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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