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[Experience in percutaneous nephrostomy].

A Nishino, T Misaki, H Hisazumi

    Hinyokika Kiyo. Acta Urologica Japonica
    |July 1, 1984
    PubMed
    Summary
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    Percutaneous nephrostomy using the Seldinger technique is a safe and effective method for treating obstructive hydronephrosis. Real-time ultrasound guidance enhances needle placement accuracy, minimizing complications.

    Area of Science:

    • Nephrology
    • Urology
    • Interventional Radiology

    Context:

    • Obstructive hydronephrosis requires effective management to prevent kidney damage.
    • Percutaneous nephrostomy offers a minimally invasive approach to urinary obstruction.

    Purpose:

    • To evaluate the safety, precision, and utility of percutaneous nephrostomy using the Seldinger technique with real-time ultrasound guidance.
    • To assess the success rate and complication profile of this procedure in patients with obstructive hydronephrosis.

    Summary:

    • Percutaneous nephrostomy was successfully performed on 15 patients with obstructive hydronephrosis.
    • The Seldinger technique with ultrasound guidance achieved a high initial puncture success rate (73.3%) with minimal complications.
    • Catheter placement was feasible in all cases, demonstrating the procedure's high utility.

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    Impact:

    • This study confirms percutaneous nephrostomy as a safe, precise, and highly useful intervention for supravesical urinary obstruction.
    • The findings support the widespread adoption of this technique in clinical practice for managing hydronephrosis.
    • Real-time ultrasound guidance is crucial for optimizing procedural success and patient safety.