| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000434850 |
| ISSN: | 1677-5538 |
| Autores: | Dönmez, M. Irfan1 Carrasco Jr., Alonso2 Saltzman, Amanda F2 Wilcox, Duncan T2 |
| Instituciones: | 1University of Colorado, Denver Anschutz Medical Campus, Boulder, Colorado. Estados Unidos de América 2The Children's Hospital, Department of Pediatric Urology, Denver, Colorado. Estados Unidos de América |
| Año: | 2019 |
| Periodo: | Ene-Feb |
| Volumen: | 45 |
| Número: | 1 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Objective: In the majority of published series, children undergoing open pyeloplasty are admitted for at least one night. We hypothesized that it would be possible in the majority of infants to perform open pyeloplasty as an outpatient procedure. Materials and Methods: All patients who underwent open pyeloplasty by a single surgeon between 2008 and 2016 were retrospectively reviewed. Demographic data (age at surgery, gender, pre- and postoperative imaging studies, laterality, type of local anesthesia), operative time, duration of hospital stay, need for narcotic analgesics, complications, readmission within 1-month after surgery and need for additional procedures were abstracted. Results: A total of 18 infants underwent open pyeloplasty by single surgeon. Mean age at time of surgery was 19 months (range 3-23 months). There were 8 girls and 10 boys. In addition to general anesthesia, all of the patients received regional anesthesia (caudal block 8, epidural block 8, subcutaneous nerve block 2). Median operative time was 135 minutes (range 81-166). Median hospital stay was 1 day (range 1 to 2). Two patients required iv narcotics for pain management. None of the patients required parenteral administration of other medications during the short hospitalization. No patients required any additional procedures or hospital readmissions within 1 month from surgery. Conclusions: In appropriately selected patients, outpatient pyeloplasty appears to be feasible with an oral postoperative analgesia plan to be administered at home |
| Disciplinas: | Medicina |
| Palabras clave: | Nefrología, Cirugía, Pediatría, Obstrucción ureteral, Pieloplastia, Anestesia, Cirugía ambulatoria |
| Keyword: | Nephrology, Surgery, Pediatrics, Ureteral occlusion, Pyeloplasty, Ambulatory surgery, Anesthesia |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
