Document Detail


Ocular complications after open and hand-assisted laparoscopic donor nephrectomy.
MedLine Citation:
PMID:  20573378     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jeffrey L Koning; Lesli I Nicolay; Forrest Jellison; Jonathan P Heldt; Jennifer A Dunbar; D Duane Baldwin
Related Documents :
14555908 - Peripheral hypertrophic subepithelial corneal degeneration.
6770888 - Genetic markers in glaucoma.
1454338 - Serious complications of topical mitomycin-c after pterygium surgery.
1490838 - The follow-up of patients screened for glaucoma with non-mydriatic fundus photography.
14736448 - Transient constrictive pericarditis: causes and natural history.
21882028 - Outcome of surgery for primary hyperaldosteronism.
Publication Detail:
Type:  Journal Article     Date:  2010-06-22
Journal Detail:
Title:  Urology     Volume:  77     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-03     Completed Date:  2011-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  92-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Department of Urology, Loma Linda University Medical Center, Loma Linda, California, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
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:
Urology. 2011 Jan;77(1):96-7; author reply 97   [PMID:  21195826 ]

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


Previous Document:  Comparison of Validated Instruments Measuring Sexual Function in Men.
Next Document:  Identification and Management of Emptying Failure in Male Patients With Orthotopic Neobladders After...