Bijit Lodh1, Sandeep Gupta1, Akoijam Kaku Singh2, Rajendra Singh Sinam3. 1. Postdoctoral (M.Ch. Trainee), Registrar, Department of Urology, Regional Institute of Medical Sciences (RIMS) , Imphal, Manipur, India . 2. Associate Professor, Department of Urology, Regional Institute of Medical Sciences (RIMS) , Imphal, Manipur, India . 3. Professor and Head, Department of Urology, Regional Institute of Medical Sciences (RIMS) , Imphal, Manipur, India .
Abstract
AIMS: Ultrasound guided Percutaneous Nephrostomy (PCN) tube placement: evaluation, safety and efficacy review. SETTINGS AND DESIGN: This was a quasi-experimental study conducted at Department of Urology, Regional Institute of Medical Sciences, Imphal. MATERIALS AND METHODS: The total number of 176 patients with grade I-IV hydronephrosis requiring PCN tube placement were included in the study. Scientific, operational and accessory steps of the technique and its related safety and efficacy pre-procedural, intra-procedural and post-procedural parameters were carefully and meticulously recorded. STATISTICAL ANALYSIS: Statistical analyses was performed using the Statistical Package for the Social Sciences (SPSS 16.0) for Windows. RESULTS: The average length of the procedure was 9.07±2.79 (6-15) minutes. Severe procedure related pain (VAS score 8-10) was observed only in 18 patients (10.23%). Nephrostomy tube placement was successful in 96.60% of cases and only 9.66% required more than a single attempt of puncture. In this study, impacted ureteric calculus was found to be most common indication of PCN tube placement. CONCLUSIONS: Ultrasound guided direct PCN tube placement is a reliable, easy and cost effective technique. This procedure is particularly suitable for developing countries like India, where the majority of the patients belongs to the low socio-economical status and health care system lacks adequate infrastructural facility at most places.
AIMS: Ultrasound guided Percutaneous Nephrostomy (PCN) tube placement: evaluation, safety and efficacy review. SETTINGS AND DESIGN: This was a quasi-experimental study conducted at Department of Urology, Regional Institute of Medical Sciences, Imphal. MATERIALS AND METHODS: The total number of 176 patients with grade I-IV hydronephrosis requiring PCN tube placement were included in the study. Scientific, operational and accessory steps of the technique and its related safety and efficacy pre-procedural, intra-procedural and post-procedural parameters were carefully and meticulously recorded. STATISTICAL ANALYSIS: Statistical analyses was performed using the Statistical Package for the Social Sciences (SPSS 16.0) for Windows. RESULTS: The average length of the procedure was 9.07±2.79 (6-15) minutes. Severe procedure related pain (VAS score 8-10) was observed only in 18 patients (10.23%). Nephrostomy tube placement was successful in 96.60% of cases and only 9.66% required more than a single attempt of puncture. In this study, impacted ureteric calculus was found to be most common indication of PCN tube placement. CONCLUSIONS: Ultrasound guided direct PCN tube placement is a reliable, easy and cost effective technique. This procedure is particularly suitable for developing countries like India, where the majority of the patients belongs to the low socio-economical status and health care system lacks adequate infrastructural facility at most places.
Authors: P Ramchandani; J F Cardella; C J Grassi; A C Roberts; D Sacks; M S Schwartzberg; C A Lewis Journal: J Vasc Interv Radiol Date: 2001-11 Impact factor: 3.464
Authors: R Beetz; A Bökenkamp; M Brandis; P Hoyer; U John; M J Kemper; M Kirschstein; E Kuwertz-Bröking; J Misselwitz; D E Müller-Wiefel; W Rascher Journal: Urologe A Date: 2001-11 Impact factor: 0.639