Document Detail


Reinforcement for percutaneous nephrostomy tubes with a new technique.
MedLine Citation:
PMID:  21204671     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract Background and Purpose: Percutaneous nephrostomy (PCN) still plays a significant role in decompressing the renal collecting system. Percutaneous nephrostomy tubes (PNTs), however, which are flexible and may not be protected well by patients, are vulnerable to mechanical drag, although they are carefully fixed to the skin with silk suture. We developed a simple method to reinforce the nephrostomy tube against dislodgement from the skin. Patients and Methods: A total of 133 adult patients underwent ultrasonography-guided PCN; 85 patients received a conventional method to fix the tubes, while the other 48 patients received a new one. We used a rubber drainage tube, about 2 cm long, sheared longitudinally, as the outer tube to encase the nephrostomy tube, and then sutured the cutting edges together with the skin suture to reinforce the nephrostomy tube. Results: Compared with the 85 patients who received the conventional method, there was not any tube dislodgement after PCN in the 48 patients who received the new one at the end of 2 weeks (0 vs 7, P = 0.049) and 4 weeks (0 vs 10, P = 0.014) follow-up. Conclusions: This is a simple, effective, and inexpensive method that can significantly decrease the dislodgement incidence of PNTs and keep them fixed well after surgery.
Authors:
Tie Zhou; Xiaofeng Gao; Cheng Yang; Yonghan Peng; Liang Xiao; Chuanliang Xu; Linhui Wang; Jianguo Hou; Yinghao Sun
Publication Detail:
Type:  Journal Article     Date:  2011-01-04
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  25     ISSN:  1557-900X     ISO Abbreviation:  J. Endourol.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  41-4     Citation Subset:  IM    
Affiliation:
Department of Urology, Changhai Hospital, The Second Military Medical University , Shanghai, People's Republic of China .
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