Document Detail

Tubed vs tubeless PCNL in children.
MedLine Citation:
PMID:  23139970     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare post-operative outcomes between tubeless and conventional large-bore nephrostomy tube drainage following percutaneous nephrolithotomy in children.
METHODS: The study comprised 54 patients under 14 years of age who were undergoing percutaneous nephrolithotomy at 60 renal units and met the inclusion criteria. They were randomised to placement of a 16F nephrostomy tube (Group A, 30 renal units) or tubeless drainage (Group B, 30 renal units) at the end of the procedure. Patient age, number and position of stones, operating time, change in haemoglobin, post-operative analgesia requirement, length of hospital stay and post-operative complications were compared between the two groups, using SPSS version 17 and t test.
RESULTS: Group A had 28 patients, while Group B had 26. The mean age in Group A was 7.2 +/- 3.2 years, and in Group B it was 6.3 +/- 3.6 years (age range 3-13 years and 1-13 years respectively). The mean size of stone was 28.6 +/- 16.7mm and 20.4 +/- 9.3mm; mean change in Hb was 0.78 +/- 0.69mg/dl and 0.63 +/- 0.54mg/dl; and the mean operating time was 54 +/- 20.7 minutes versus 66.9 +/- 22.9 minutes in the two groups respectively. There was significantly less requirement for post-operative pethidine in Group B versus Group A (p=0.01). The postoperative clearance and complications were comparable between the two groups, while the duration of hospital stay was significantly shorter in Group B compared to Group A (p=0.007).
CONCLUSION: Tubeless percutaneous nephrolithotomy in children is safe and effective. Post-operative analgesia requirement is less and hospital stay is shortened compared to the conventional nephrostomy placement after percutaneous nephrolithotomy.
Lubna Samad; Zafar Zaidi
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  62     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-11-12     Completed Date:  2012-12-17     Revised Date:  2013-02-07    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  892-6     Citation Subset:  IM    
Department of Urology, The Indus Hospital, Korangi, Karachi.
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MeSH Terms
Analgesics, Opioid / therapeutic use
Child, Preschool
Drainage* / adverse effects,  instrumentation,  methods
Kidney Calculi / surgery,  ultrasonography
Length of Stay
Meperidine / therapeutic use
Monitoring, Physiologic
Nephrostomy, Percutaneous* / adverse effects,  instrumentation,  methods
Pain, Postoperative / prevention & control*
Postoperative Care* / adverse effects,  methods
Treatment Outcome
Ultrasonography / methods
Urinary Catheters / adverse effects*
Urinary Tract Infections* / etiology,  prevention & control
Reg. No./Substance:
0/Analgesics, Opioid; 57-42-1/Meperidine

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