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AI InsightDismembered piyeloplasti operasyonlarinda kuguk gocuklarda rat-tail kateter, yetiskinlerde ise doubled kateter uygulanmasmm daha uygun oldugu kanisina varildi.
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Özet
Oreteropelvik darljk.nedeniyVcfemembered piyeloplasti yapilan olgularda stent olarak eksternal {rat-tailkateter) ve internal {doubled kateter) diversiyon kullanimi karsilastinldi. Ocak 1990 ile Mart 1998 arasinda piyeloplasti uygulanan 67 olgunun 48'inde rat-tail kateter ve 19'unda double J kateter stent olarak kullanildi. Doubled kateter ve rat-tail kateter kullamlan gruplar karsilastinldiginda, postoperatif hastanede yatis suresi doubled grubunda ortalama 6.1 gun (3 ile 17 gun arasinda) iken, rat-tail grubunda 12.6 gun (5 ile 24 gun arasinda) idi. Komplikasyonlar olarak, rat-tail kateter grubuhda yara yeri infeksiyonu 3 (% 6.2), idrar ekstravazasyonu 4 (% 8.3), semptomatik idrar yolu infeksiyonu 6 (% 12.5) olguda goruldu. Double J grubunda karsilik gelen sayi ve oranlar, sirasiyla, 1 (% 5.3), 2 (% 10.5) ve 1 (% 5.3) idi. Ameliyat basansi, rat-tail grubunda % 91.7 (44/48) iken, doubled grubunda % 89.5 (17/19) olarak belirlendi. Dismembered piyeloplasti operasyonlarinda kuguk gocuklarda rat-tail kateter, yetiskinlerde ise doubled kateter uygulanmasmm daha uygun oldugu kanisina varildi.
Abstract
The use of external (rat-tail catheter) and internal (double J catheter) stents after dismembered pyeloplasty in patients with ureteropelvic junction obstruction were compared. Between January 1990 and March 1998, 67 patients underwent dismembered pyeloplasty operations, in 48 of whom rat-tail catheters were used and in 19 double J stents were placed. When the two groups were compared, the postoperative hospitalisation periods in the double J stent and rat-tail groups were 3-17 days (mean; 6.1 days) and 5-24 days (mean; 12.6 days), respectively. The complications were noted as wound infections in 3 patients (6.25 %), extravasation of urine in 4 (8.3 %), and symptomatic urinary infection in 6 cases (2.5 %) in the rat tail group, whereas the corresponding figures in the double J stent group were 1 (5.3 %), 2 (10.5 %), and 1 (5.3 %), respectively. The postoperative success rates were 91.7 % (44/48) and 89.5 (17/19) in the rat-tail and double J groups, respectively. It seems rational to use rat tail catheters in children and double J stents in adults who undergo dismembered pyeloplasty operations.