| Prophylactic ureteric catheters in laparoscopic colorectal surgery. | |
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MedLine Citation:
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PMID: 18512012 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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S Tsujinaka; S D Wexner; G DaSilva; D R Sands; E G Weiss; J J Nogueras; J Efron; A M Vernava |
Publication Detail:
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Type: Journal Article Date: 2008-05-30 |
Journal Detail:
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Title: Techniques in coloproctology Volume: 12 ISSN: 1123-6337 ISO Abbreviation: Tech Coloproctol Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-05-30 Completed Date: 2008-09-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9613614 Medline TA: Tech Coloproctol Country: Italy |
Other Details:
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Languages: eng Pagination: 45-50 Citation Subset: IM |
Affiliation:
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Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL 33331, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Antibiotic Prophylaxis Colorectal Surgery* Female Humans Laparoscopy* Male Middle Aged Retrospective Studies Statistics, Nonparametric Treatment Outcome Ureter* Urinary Catheterization / methods* Urinary Tract Infections / prevention & control* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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