Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | vineri, 19 iulie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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PERCUTANEOUS APPROACH IN OBSTRUCTIVE RENAL FAILURE – INDICATIONS, POSTOPERATIVE SURVEILLANCE
C. Ristescu (*), C. Costache, N. Suditu, C. Novac
(*) PhD student, „Gr. T. Popa” University of Medicine and Pharmacy Iaşi
Department of Urology and Renal Transplantation, CI Parhon University Hospital
„Gr. T. Popa” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2011; 7 (2): 215-223
Full text:
Format PDF (Română/Romanian)

Abstract:

Objective: The study aimed to identify the variation of biological parameters recorded at the patients with obstructive renal failure treated with percutaneous nephrostomy. Material and method: The retrospective study investigated the data of 244 patients admitted in our department and treated with percutaneous nephrostomy  for obstructive renal failure during January 2005 – December 2007. Demographical data, investigation, operation notes, indication, biological parameters trends (creatinine, haematocrit, haemoglobin, kaliemia, alkaline reserve), complications and hospital stay were recorded. The biological parameter trends (creatinine, haematocrit, haemoglobin, kaliemia, alkaline reserve)  was analysed. The median  preoperative and postoperative values of those parameters was compared. Statistical analysis was performed.Results: The median preoperative/discharge values of creatinine were 8.29mg%(1.6-26.3 mg%) comparing to  3.63mg% (0.64-13 mg%). A return to normal renal function at the discharge time was noted in 23 patients (9.7%). Hyperpotasemia (K>5.1mEq/l) on admission was found in 134 patients (54.9%). The median preoperative/discharge values of potassium were 5.71mEq/l comparing to 4.8 mEq/l.The median hospitalization time was 8.7 days with a median ICU stay of 3.3 days. The recorded mortality was 3.2% (8 patients) with an average time of 5.8 days between the operatory time and exitus time. Conclusions: The most frequent causes of obstructive renal failure necessiting percutaneous nephrostomy are malignancies. After renal percutaneous drainage the renal function improvement is fast and significant. In the postoperative period the onset of severe hypokalemia call for aggressive treatment in the same time with volume repletion.

KEY WORDS: RENAL FAILURE, PERCUTANEOUS NEPHROSTOMY, MALIGNANCIES

Correspondence to: Dr. Constantin Ristescu, Department of Urology and Renal Transplantation, CI Parhon University Hospital, Bd.Carol I Nr.50, Iaşi, e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.