Pyeloplasty in children by lumbotomy approach using infant feeding tube as single stent
Background: The objective of this study was to assess the outcome in children who had undergone pyeloplasty by lumbotomy approach using infant feeding tube (IFT; 5 Fr) as a single stent. Materials and Methods: During January 2000 and December 2010, 134 pyeloplasty were performed by the lumbotomy app...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | African Journal of Paediatric Surgery |
| Subjects: | |
| Online Access: | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2014;volume=11;issue=1;spage=18;epage=21;aulast=Singh |
| _version_ | 1811287037979918336 |
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| author | Amit Singh Minu Bajpai Manisha Jana |
| author_facet | Amit Singh Minu Bajpai Manisha Jana |
| author_sort | Amit Singh |
| collection | DOAJ |
| description | Background: The objective of this study was to assess the outcome in children who had undergone pyeloplasty by lumbotomy approach using infant feeding tube (IFT; 5 Fr) as a single stent. Materials and Methods: During January 2000 and December 2010, 134 pyeloplasty were performed by the lumbotomy approach. The procedure involves single layer anastomosis at pelvi-ureteric junction using vicryl 5-0/6-0 (reduction of pelvis if required). An IFT 5 Fr with multiple holes used as a single stent to serve as nephrostomy and as transanastomotic stent also. Results: There were 109 males and 25 females with M: F ratio of 4.3:1. Left-side pelvi-ureteric junction obstruction (PUJO) was seen in 117 (87.3%) while right side PUJO in 17 (12.7%). Mean age of presentation was 52.7 months (range 9-120 months). Postoperative complications included infection 2 (1.5%), urinoma formation 1 (0.7%), urine leak 3 (2.2%), non drainage 2 (1.5%), accidental removal of the stent 2 (1.5%). Follow-up scan done at 3 and 9 months showed improved drainage in 124 (92.5%), preserved renal function in 129 (96.2%) cases. Overall success rate 97.5%. Conclusion: Transanastomotic stent using IFT not only provide an effective drainage but also avoid the complications associated with double-J stents and nephrostomies, with the added benefit of being cheaper and availability. |
| first_indexed | 2024-04-13T03:11:05Z |
| format | Article |
| id | doaj.art-2183e3e63af7454d9b5d1c439d7ea33a |
| institution | Directory Open Access Journal |
| issn | 0189-6725 0974-5998 |
| language | English |
| last_indexed | 2024-04-13T03:11:05Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | African Journal of Paediatric Surgery |
| spelling | doaj.art-2183e3e63af7454d9b5d1c439d7ea33a2022-12-22T03:05:03ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67250974-59982014-01-01111182110.4103/0189-6725.129205Pyeloplasty in children by lumbotomy approach using infant feeding tube as single stentAmit SinghMinu BajpaiManisha JanaBackground: The objective of this study was to assess the outcome in children who had undergone pyeloplasty by lumbotomy approach using infant feeding tube (IFT; 5 Fr) as a single stent. Materials and Methods: During January 2000 and December 2010, 134 pyeloplasty were performed by the lumbotomy approach. The procedure involves single layer anastomosis at pelvi-ureteric junction using vicryl 5-0/6-0 (reduction of pelvis if required). An IFT 5 Fr with multiple holes used as a single stent to serve as nephrostomy and as transanastomotic stent also. Results: There were 109 males and 25 females with M: F ratio of 4.3:1. Left-side pelvi-ureteric junction obstruction (PUJO) was seen in 117 (87.3%) while right side PUJO in 17 (12.7%). Mean age of presentation was 52.7 months (range 9-120 months). Postoperative complications included infection 2 (1.5%), urinoma formation 1 (0.7%), urine leak 3 (2.2%), non drainage 2 (1.5%), accidental removal of the stent 2 (1.5%). Follow-up scan done at 3 and 9 months showed improved drainage in 124 (92.5%), preserved renal function in 129 (96.2%) cases. Overall success rate 97.5%. Conclusion: Transanastomotic stent using IFT not only provide an effective drainage but also avoid the complications associated with double-J stents and nephrostomies, with the added benefit of being cheaper and availability.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2014;volume=11;issue=1;spage=18;epage=21;aulast=SinghInfant feeding tubelumbotomypyeloplastysingle stent |
| spellingShingle | Amit Singh Minu Bajpai Manisha Jana Pyeloplasty in children by lumbotomy approach using infant feeding tube as single stent African Journal of Paediatric Surgery Infant feeding tube lumbotomy pyeloplasty single stent |
| title | Pyeloplasty in children by lumbotomy approach using infant feeding tube as single stent |
| title_full | Pyeloplasty in children by lumbotomy approach using infant feeding tube as single stent |
| title_fullStr | Pyeloplasty in children by lumbotomy approach using infant feeding tube as single stent |
| title_full_unstemmed | Pyeloplasty in children by lumbotomy approach using infant feeding tube as single stent |
| title_short | Pyeloplasty in children by lumbotomy approach using infant feeding tube as single stent |
| title_sort | pyeloplasty in children by lumbotomy approach using infant feeding tube as single stent |
| topic | Infant feeding tube lumbotomy pyeloplasty single stent |
| url | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2014;volume=11;issue=1;spage=18;epage=21;aulast=Singh |
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