Inpatient interventions that may preclude outpatient open pyeloplasty in infants
Int. braz. j. urol
;
45(1): 145-149, Jan.-Feb. 2019. tab
Article
Dans Anglais
| 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 andMethods:
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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Procédures de chirurgie urologique
/
Obstruction urétérale
Type d'étude:
Étude observationnelle
Limites du sujet:
Femelle
/
Humains
/
Bébé
/
Mâle
langue:
Anglais
Texte intégral:
Int. braz. j. urol
Thème du journal:
Urologie
Année:
2019
Type:
Article
Pays d'affiliation:
États-Unis d'Amérique
Institution/Pays d'affiliation:
Children's Hospital Colorado/US
/
University of Colorado/US
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