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Pyeloplasty in Infants and Children with Particular Reference to the Method of Drainage Post‐operatively
Author(s) -
RICKWOOD A. M. K.,
PHADKE D.
Publication year - 1978
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1978.tb02812.x
Subject(s) - drainage , medicine , sump (aquarium) , anastomosis , pyeloplasty , radiological weapon , surgery , general surgery , geology , ecology , oceanography , urinary system , hydronephrosis , biology
Summary— Sixty‐three consecutive Anderson‐Hynes pyeloplasties in infants and children have been reviewed with particular reference to any influence the method of drainage might have on the post‐operative course and the final radiological result. Extra‐anastomotic drainage, usually with a sump drain, was used in 40 cases and pyelostomy drainage in 23 cases. Fewer post‐operative complications were encountered in the former group. The final radiological result was not influenced by the method of drainage except that, in patients under 2 years of age, those with pyelostomy drainage fared rather better. It is concluded that ( a ) extra‐anastomotic sump drainage is the method of choice following pyeloplasty in children over 2 years of age, and ( b ) in infants under 2 years of age pyelostomy drainage probably should be combined with a trans‐anastomotic splint.