percutaneous nephrostomy: a well established and efficacious procedure

PERCUTANEOUS NEPHROSTOMY: A WELL ESTABLISHED AND EFFICACIOUS PROCEDURE

56 percutaneous nephrostomies were evaluated in 50 patients, with a malignant underlying factor in 32 and benign conditions in 24. The clinical indication was decompression for supravesical obstruction with or without azotemia in the majority of cases. Less common indications were management of ureteral fistula, ureteral stricture dilatation, and pelvic stone extraction. Serious complicati...

Percutaneous needle nephrostomy.

Percutaneous nephrostomy is a simple technique for temporary drainage of an obstructed kidney. Under local anaesthesia a ureteric catheter is passed through a Vim-Silverman needle into the renal pelvis and is connected to a drainage bag. Seven cases (six successful) in which this method was used are described and the indications are discussed. It has been free from complications, is acceptable ...

Thomas Hillier and percutaneous nephrostomy.

Percutaneous nephrostomy has revolutionized urologic practice. Goodwin, Casey, and Woolf’s landmark report in 1955l described percutaneous trocar nephrostomy for temporary drainage of hydronephrosis in 16 patients. Following a twenty-five year period of relative dormancy, percutaneous access to the upper urinary tract became a fundamental diagnostic and therapeutic tool. The literature contains...

Percutaneous Nephrostomy in Urogenital Neoplasias

Introduction: Urogenital neoplasias frequently progress with obstructive uropathy due to local spreading or pelvic metastases. The urinary obstruction must be immediately relieved in order to avoid deterioration in these patients. The percutaneous nephrostomy is a safe and effective method for relief the obstruction; however the indications of such procedures have been questioned in patients wi...

A muscle layer dilator for percutaneous nephrostomy.

An instrument was developed to establish a tract through the muscle layer for percutaneous nephrostomy. The specially designed clamp holds a guide wire or rod and opens the muscle layer easily and safely. It is not as dangerous as a knife and is inexpensive compared with a disposable balloon dilator.

Percutaneous Nephrostomy Tube-related Infections