Document Detail

Prophylactic ureteric catheters in laparoscopic colorectal surgery.
MedLine Citation:
PMID:  18512012     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The purpose of this study was to evaluate the use of ureteric catheter placement in laparoscopic colorectal surgery and to assess the morbidity related to this procedure. METHODS: Between 1994 and 2001, 313 elective laparoscopic colorectal surgeries were performed. Patients with and without ureteric catheters were retrospectively analyzed. RESULTS: Catheter placement was attempted in 149 patients (catheter group) and was not attempted in 164 (controls). There were no significant differences between groups in the number of patients with prior colorectal resection (p=0.286) or other abdominal surgery (p=0.074). Crohn's disease and diverticulitis were more common in the catheter group than among controls (p<0.001). Concomitant intra-abdominal fistula or abscess was present in 29 patients (19.5%) in the catheter group vs. 14 (8.5%) in the control group (p=0.005). The duration of surgery was longer in the catheter group (p=0.001). There were no significant differences in conversion, duration of bladder catheter placement, or length of hospital stay. Urinary tract infection occurred in 3 patients (2.0%) in the catheter group and 7 (4.3%) in the control group (p=0.257) and urinary retention occurred in 3 patients (2.0%) and 11 patients (6.7%), respectively (p=0.045). No intraoperative ureteric injuries occurred in either group. CONCLUSION: Ureteric catheter placement was successful in most cases and was not associated with intraoperative injuries. The increased length of surgery in patients with ureteric catheter placement may attest to the increased severity of pathology in these patients.
S Tsujinaka; S D Wexner; G DaSilva; D R Sands; E G Weiss; J J Nogueras; J Efron; A M Vernava
Publication Detail:
Type:  Journal Article     Date:  2008-05-30
Journal Detail:
Title:  Techniques in coloproctology     Volume:  12     ISSN:  1123-6337     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-05-30     Completed Date:  2008-09-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  45-50     Citation Subset:  IM    
Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL 33331, USA.
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MeSH Terms
Antibiotic Prophylaxis
Colorectal Surgery*
Middle Aged
Retrospective Studies
Statistics, Nonparametric
Treatment Outcome
Urinary Catheterization / methods*
Urinary Tract Infections / prevention & control*

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