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Inpatient interventions that may preclude outpatient open pyeloplasty in infants
Dönmez, M. Irfan; Carrasco J, Alonso; Saltzman, Amanda F; Wilcox, Duncan T.
  • Dönmez, M. Irfan; University of Colorado. Department of Urology. US
  • Carrasco J, Alonso; Children's Hospital Colorado. Department of Pediatric Urology. Denver. US
  • Saltzman, Amanda F; Children's Hospital Colorado. Department of Pediatric Urology. Denver. US
  • Wilcox, Duncan T; Children's Hospital Colorado. Department of Pediatric Urology. Denver. US
Int. braz. j. urol ; 45(1): 145-149, Jan.-Feb. 2019. tab
Article in English | LILACS | ID: biblio-989960
ABSTRACT
ABSTRACT

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.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Urologic Surgical Procedures / Ureteral Obstruction Type of study: Observational study Limits: Female / Humans / Infant / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2019 Type: Article Affiliation country: United States Institution/Affiliation country: Children's Hospital Colorado/US / University of Colorado/US

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Full text: Available Index: LILACS (Americas) Main subject: Urologic Surgical Procedures / Ureteral Obstruction Type of study: Observational study Limits: Female / Humans / Infant / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2019 Type: Article Affiliation country: United States Institution/Affiliation country: Children's Hospital Colorado/US / University of Colorado/US