RESUMO
Laparoscopic pyeloplasty as a treatment for ureteropelvic junction obstruction has shown comparable success rates with open pyeloplasty techniques. The use of robotic technology to assist during laparoscopic pyeloplasty procedures has been encouraged by the steep learning curve for laparoscopic surgical skills, and the complexity of laparoscopic suturing. Robotic technology provides the surgeon with the ability to filter out any physiologic hand tremor, more degrees of freedom of movement than traditional laparoscopic instruments, the ability to scale movement to provide better control for microsurgery, better ergonomics during surgery, and three-dimensional vision. Details of the procedure and specific nursing care of the patient undergoing robotic-assisted laparoscopic pyeloplasty at the University of Iowa Hospital and Clinics are described.
Assuntos
Pelve Renal/cirurgia , Assistência Perioperatória/enfermagem , Robótica , Obstrução Ureteral/cirurgia , Ureteroscopia/enfermagem , Centros Médicos Acadêmicos , Assistência ao Convalescente , Ergonomia , Humanos , Decoração de Interiores e Mobiliário , Iowa , Papel do Profissional de Enfermagem , Avaliação em Enfermagem , Alta do Paciente , Educação de Pacientes como Assunto , Assistência Perioperatória/métodos , Enfermagem Perioperatória/métodos , Robótica/métodos , Resultado do Tratamento , Obstrução Ureteral/enfermagem , Ureteroscopia/métodosAssuntos
Assistência Perioperatória , Stents , Obstrução Ureteral/cirurgia , Abscesso/etiologia , Drenagem , Hematúria/etiologia , Humanos , Dor Pós-Operatória/etiologia , Assistência Perioperatória/métodos , Assistência Perioperatória/enfermagem , Ruptura , Stents/efeitos adversos , Ureter/lesões , Obstrução Ureteral/diagnóstico , Obstrução Ureteral/enfermagem , Ureteroscopia/efeitos adversos , Ureteroscopia/métodos , Ureteroscopia/enfermagem , Infecções Urinárias/etiologiaRESUMO
Ureteroscopy can be one of the more challenging procedures performed in the urology department. For perioperative nurses who rotate through the urology department and are not familiar with the various stents, wires, baskets, and other specialty equipment, the procedure is not only challenging, but also mysterious. This article enhances nurses' knowledge of urology by describing the steps and equipment of ureteroscopy, including access (i.e., using wires, ureteral catheters, and specialty catheters); dilation (i.e., using balloons, self-dilating scopes, and sequential and coaxial dilation); manipulation (i.e., using baskets, graspers, biopsy devices, and intracorporeal lithotripsy equipment); and stenting (i.e., using multilength or pigtail stents). Knowledge of these factors can help clear up the mystery of ureteroscopy, allowing nurses to better understand the procedure and better manage its complex inventory.
