Nephrostomy

Jump to: navigation, search

WikiDoc Resources for Nephrostomy

Articles

Most recent articles on Nephrostomy

Most cited articles on Nephrostomy

Review articles on Nephrostomy

Articles on Nephrostomy in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Nephrostomy

Images of Nephrostomy

Photos of Nephrostomy

Podcasts & MP3s on Nephrostomy

Videos on Nephrostomy

Evidence Based Medicine

Cochrane Collaboration on Nephrostomy

Bandolier on Nephrostomy

TRIP on Nephrostomy

Clinical Trials

Ongoing Trials on Nephrostomy at Clinical Trials.gov

Trial results on Nephrostomy

Clinical Trials on Nephrostomy at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Nephrostomy

NICE Guidance on Nephrostomy

NHS PRODIGY Guidance

FDA on Nephrostomy

CDC on Nephrostomy

Books

Books on Nephrostomy

News

Nephrostomy in the news

Be alerted to news on Nephrostomy

News trends on Nephrostomy

Commentary

Blogs on Nephrostomy

Definitions

Definitions of Nephrostomy

Patient Resources / Community

Patient resources on Nephrostomy

Discussion groups on Nephrostomy

Patient Handouts on Nephrostomy

Directions to Hospitals Treating Nephrostomy

Risk calculators and risk factors for Nephrostomy

Healthcare Provider Resources

Symptoms of Nephrostomy

Causes & Risk Factors for Nephrostomy

Diagnostic studies for Nephrostomy

Treatment of Nephrostomy

Continuing Medical Education (CME)

CME Programs on Nephrostomy

International

Nephrostomy en Espanol

Nephrostomy en Francais

Business

Nephrostomy in the Marketplace

Patents on Nephrostomy

Experimental / Informatics

List of terms related to Nephrostomy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

A nephrostomy is an artificial opening created between the kidney and the skin which allows for the drainage of urine directly from the upper part of the urinary system (renal pelvis).

Indications

A nephrostomy is performed whenever a blockage keeps urine from passing from the kidneys, through the ureter and into the urinary bladder. Without another way for urine to drain, pressure would rise within the urinary system and the kidneys would be damaged.

The most common cause of blockage necessitating a nephrostomy is cancer, especially ovarian cancer and colon cancer. Nephrostomies may also be required to treat pyonephrosis and kidney stones[1].

Procedure

Nephrostomies are created by surgeons or interventional radiologists and typically consist of a catheter which pierces the skin and rests in the urinary tract.

Urine is collected in an external bag which can be emptied as often as necessary[1].

Complications

  • Acute bleeding (< 5%)
  • Delayed hemorrhage (< 0.5%)
  • Emergency arterial embolization of the kidney (< 0.5%)
  • Failed access (< 5%)
  • Infection leading to septicemia (< 1%)
  • Intraperitoneal injury (< 1%)
  • Mortality (< 0.05%)
  • Nephrectomy (< 0.2%)
  • Perforation of the collecting system (< 30%)
  • Periorgan injury, including bowel perforation, splenic injury, and liver injury (< 1%)
  • Pleural effusion, hydrothorax, and pneumothorax (< 13%)
  • Significant loss of functioning renal tissue (< 1%)

References

  1. 1.0 1.1 Dagli, M.; Ramchandani, P. (2011). "Percutaneous nephrostomy: technical aspects and indications". Semin Intervent Radiol. 28 (4): 424–37. doi:10.1055/s-0031-1296085. PMID 23204641. Unknown parameter |month= ignored (help)



Linked-in.jpg