IMPACT OF NEPHROSTOMY IN PATIENTS UNDERGOING NEPHRECTOMY FOR CALCULUS DISEASE

Dr Pramod Adiga; Dr Mayank Jain; Dr Navaneeth Srinidhi R; Dr Shivalingaiah M

Volume : IX, Issue : V, May - 2020

IMPACT OF NEPHROSTOMY IN PATIENTS UNDERGOING NEPHRECTOMY FOR CALCULUS DISEASE

Dr Pramod Adiga, Dr Mayank Jain, Dr Navaneeth Srinidhi R, Dr Shivalingaiah M

Abstract :

Introduction: Simple nephrectomy is the procedure of choice in the treatment of non functioning kidneys secondary to any cause. Relief of urinary tract obstruction represents most common indication of PCN placement in 85–90% patients. We aimed to compare surgical results in open simple retroperitoneal nephrectomies in patients with and without nephrostomy. Methodology: 138 patients over a period of 6 years were analysed retrospectively. The demographic parameters, Intra operative variables (surgical time, Intraoperative bleeding) and postoperative complications (need for intensive care, need for transfusion, surgical wound infection and hospital stay days) were compared in patients with and without Nephrostomy using chi square test. Results: 60 patients underwent open simple nephrectomy secondary to calculus disease. Mean age of patients undergoing open simple nephrectomy secondary to calculus disease was 42 years. Statistically significant differences were found for the variables of surgical time, hospital stay days, need for ICU and transfusion requirements more in favour of patients with nephrostomy tube. There were no differences in the need for intra operative bleeding, intraoperative complications and surgical wound infection. Conclusion: Simple nephrectomy secondary to calculus with a nephrostomy is never simple but more complicated due to longer surgery time, longer duration of hospital stay, higher need for blood tansfusion and ICU care. More meticulous technique and adequate preoperative optimisation of the patient is must before open nephrectomy secondary to calculus