Packing of renal fossa: Useful technique for intractable bleeding after open pyelolithotomy surgery
There is no documented study to indicate the role of prolonged packing of renal fossa (24 to 48 hours) to control bleeding in life threating haemorrhage following open pyelolithotomy without compromise in the renal functions. On the contrary emergency nephrectomy was performed for intractable bleedi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Nigerian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2012;volume=18;issue=1;spage=37;epage=39;aulast=Malhotra |
| _version_ | 1818432508431171584 |
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| author | Mohinder Kumar Malhotra Suchitra Malhotra |
| author_facet | Mohinder Kumar Malhotra Suchitra Malhotra |
| author_sort | Mohinder Kumar Malhotra |
| collection | DOAJ |
| description | There is no documented study to indicate the role of prolonged packing of renal fossa (24 to 48 hours) to control bleeding in life threating haemorrhage following open pyelolithotomy without compromise in the renal functions. On the contrary emergency nephrectomy was performed for intractable bleeding during renal stone surgery in peripheral hospitals. Several studies have shown the usefulness of temporary packing to control bleeding in liver injuries and following open heart operations. Packing of the renal fossa with laparotomy pads in unstable patients, and transferring the patient to the surgical intensive care unit (ICU) is also described in trauma but not in controlling bleeding after open pyelolithotomy .This study comprises of three such patients whose kidneys were salvaged by a simple procedure of temporary packing of renal fossa for period of 24-48 hours who had developed life threatening haemorrhage after open pyelolithotomy. This technique is simple and worth trying especially for surgeons who are contemplating nephrectomy as prolonged packing has not lead to any compromise in renal functions. The aim of this manuscript is very limited and clear. Packing is not a licence to carry out open pyelolithotomy without proper expertise and local backup or resources. Principles of safe and ethical surgical practice should never be violated as it can lead to medico legal complications. |
| first_indexed | 2024-12-14T16:06:19Z |
| format | Article |
| id | doaj.art-04ba7dd51c4d4095ab75ba108bd9a348 |
| institution | Directory Open Access Journal |
| issn | 1117-6806 2278-7100 |
| language | English |
| last_indexed | 2024-12-14T16:06:19Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Journal of Surgery |
| spelling | doaj.art-04ba7dd51c4d4095ab75ba108bd9a3482022-12-21T22:55:04ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062278-71002012-01-01181373910.4103/1117-6806.95493Packing of renal fossa: Useful technique for intractable bleeding after open pyelolithotomy surgeryMohinder Kumar MalhotraSuchitra MalhotraThere is no documented study to indicate the role of prolonged packing of renal fossa (24 to 48 hours) to control bleeding in life threating haemorrhage following open pyelolithotomy without compromise in the renal functions. On the contrary emergency nephrectomy was performed for intractable bleeding during renal stone surgery in peripheral hospitals. Several studies have shown the usefulness of temporary packing to control bleeding in liver injuries and following open heart operations. Packing of the renal fossa with laparotomy pads in unstable patients, and transferring the patient to the surgical intensive care unit (ICU) is also described in trauma but not in controlling bleeding after open pyelolithotomy .This study comprises of three such patients whose kidneys were salvaged by a simple procedure of temporary packing of renal fossa for period of 24-48 hours who had developed life threatening haemorrhage after open pyelolithotomy. This technique is simple and worth trying especially for surgeons who are contemplating nephrectomy as prolonged packing has not lead to any compromise in renal functions. The aim of this manuscript is very limited and clear. Packing is not a licence to carry out open pyelolithotomy without proper expertise and local backup or resources. Principles of safe and ethical surgical practice should never be violated as it can lead to medico legal complications.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2012;volume=18;issue=1;spage=37;epage=39;aulast=MalhotraIntractable bleedingopen pyelolithotomypackingrenal fossa |
| spellingShingle | Mohinder Kumar Malhotra Suchitra Malhotra Packing of renal fossa: Useful technique for intractable bleeding after open pyelolithotomy surgery Nigerian Journal of Surgery Intractable bleeding open pyelolithotomy packing renal fossa |
| title | Packing of renal fossa: Useful technique for intractable bleeding after open pyelolithotomy surgery |
| title_full | Packing of renal fossa: Useful technique for intractable bleeding after open pyelolithotomy surgery |
| title_fullStr | Packing of renal fossa: Useful technique for intractable bleeding after open pyelolithotomy surgery |
| title_full_unstemmed | Packing of renal fossa: Useful technique for intractable bleeding after open pyelolithotomy surgery |
| title_short | Packing of renal fossa: Useful technique for intractable bleeding after open pyelolithotomy surgery |
| title_sort | packing of renal fossa useful technique for intractable bleeding after open pyelolithotomy surgery |
| topic | Intractable bleeding open pyelolithotomy packing renal fossa |
| url | http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2012;volume=18;issue=1;spage=37;epage=39;aulast=Malhotra |
| work_keys_str_mv | AT mohinderkumarmalhotra packingofrenalfossausefultechniqueforintractablebleedingafteropenpyelolithotomysurgery AT suchitramalhotra packingofrenalfossausefultechniqueforintractablebleedingafteropenpyelolithotomysurgery |