Document Detail

Surgery of pelviureteric obstruction in 101 children over one year of age.
MedLine Citation:
PMID:  3541879     Owner:  NLM     Status:  MEDLINE    
One hundred and one children over 1 year of age have had surgery for pelviureteric obstruction over an 11 year period. The common clinical features were abdominal pain, urinary infection or haematuria, but a number presented as an incidental finding. Less commonly, the patients presented with an abdominal mass or with hypertension. The diagnosis was usually made on intravenous pyelography (IVP) but in the latter part of the series, renal nuclide scan (RNS) and ultrasonography (US) were preferred. Ninety-three patients had a unilateral pyeloplasty, three had bilateral pyeloplasty and five had nephrectomy or heminephrectomy. Whereas initially nephrostomy drainage was used in the majority of patients after pyeloplasty, a trend away from nephrostomy evolved in the latter part of the series. With experience, the incidence of postoperative complications was also reduced and there was a reduction in the period of hospitalization. Clinical results were consistently satisfactory. Postoperative assessment after pyeloplasty was made by IVP and/or RNS and also US. A review of these investigations showed that RNS provided more factual information of the result when compared with the IVP.
S Ahmed; A L Sparnon; J P Savage; H A Boucaut; A J Smith
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian and New Zealand journal of surgery     Volume:  56     ISSN:  0004-8682     ISO Abbreviation:  Aust N Z J Surg     Publication Date:  1986 Sep 
Date Detail:
Created Date:  1987-01-28     Completed Date:  1987-01-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373115     Medline TA:  Aust N Z J Surg     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  675-80     Citation Subset:  IM    
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MeSH Terms
Follow-Up Studies
Kidney Pelvis / surgery*
Postoperative Complications
Ureteral Obstruction / diagnosis,  radiography,  radionuclide imaging,  surgery*

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

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