Indian Journal of Urology Users online:4359  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size


 
POINT OF TECHNIQUE
Year : 2002  |  Volume : 18  |  Issue : 2  |  Page : 193-194
 

A modified method of retroperitoneal drain placement following open surgery for kidney and upper ureter


Department of Urology, St. George's Hospital, Grant Medical College, Mumbai, India

Correspondence Address:
Mitul Y Doshi
Room No. 30, Resident Doctors' Qrts., St. George's Hospital, Behind C.S.T., Fort, Mumbai - 400 001
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

 

Keywords: Retroperitoneal Space; Drainage


How to cite this article:
Doshi MY, Kashyapi B D, Rao A V. A modified method of retroperitoneal drain placement following open surgery for kidney and upper ureter. Indian J Urol 2002;18:193-4

How to cite this URL:
Doshi MY, Kashyapi B D, Rao A V. A modified method of retroperitoneal drain placement following open surgery for kidney and upper ureter. Indian J Urol [serial online] 2002 [cited 2019 Nov 13];18:193-4. Available from: http://www.indianjurol.com/text.asp?2002/18/2/193/37646



   Introduction Top


Retroperitoneal drains (RPD) are routinely placed after open surgery of kidney and upper ureter to allow egress of urine and blood that may leak or ooze. This helps in healing and prevention of complications like suture-line disruption, urinoma and hematoma forma­tion, fibrosis and sepsis. [1] In practice, inner end of RPD is not under control and frequently changes its position after initial placement leading to complications already mentioned and injury or malfunction of adjacent struc­tures. This prompted us to modify the procedure.


   Method Top


Before placing the RPD, desired location of inner end is decided. A loop of chronic catgut (1-0) is made by passing it through the fascial covering of posterior ab­dominal wall muscle (Psoas Major or Quadrates Lum­borum) at a site which is 2 to 2.5 cm caudal and lateral to desired location of inner end of RPD. This loop is kept loose. The inner end of RPD is passed through the loop, keeping side holes of RPD away from the loop [Figure - 1](A). The RPD is fixed to the skin and wound is closed. This method keeps inner end of RPD stabilised at desired location postoperatively till it is removed [Figure - 1](B).


   Comparison with Standard Method Top


When inner end of RPD is not fixed as in standard method, it may slide over to suture line to act as a wick, [2] gets blocked due to acute angulations and leads to other complications already mentioned [Figure - 2](A). By stabilising the inner end, complications are avoided [Figure - 2](B). During removal of RPD, the catgut loop does not cause any problem as it is wider than the RPD and side holes are away from it.


   Conclusion Top


RPD placement itself can lead to complications which are best avoided by proper placement. [3] The described sim­ple maneuver makes RPD placement reliable, stable and without complications.

 
   References Top

1.Novick A, Streem S. Surgery of kidney. In : Walsh C. Retik AB, Vaughan ED, Wein AJ, eds. Campbell's Urology. 7th edn. Philadel­phia. Saunders. 1998: 3: 3043-3044.  Back to cited text no. 1    
2.Naitoh J, Smith R. Complications of renal surgery. In: Taneja S, Smith R. Ehrlich R, eds. Complications of Urologic Surgery. Philadephia. Saunders. 2001; 315-321.  Back to cited text no. 2    
3.Aronson WJ. Complications of ureteral surgery : Management and prevention. In : Taneja S. Ehrlich R, eds. Complications of Urologic Surgery. Philadelphia. Saunders. 2001; 357-358.  Back to cited text no. 3    


    Figures

  [Figure - 1], [Figure - 2]



 

Top
Print this article  Email this article
Previous article Next article

    

 
   Search
 
   Next article
   Previous article 
   Table of Contents
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    [PDF Not available] *
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    Introduction
    Method
    Comparison with ...
    Conclusion
    References
    Article Figures

 Article Access Statistics
    Viewed2368    
    Printed39    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal

HEALTHWARE INDIA