POINT OF TECHNIQUE
|Year : 2001 | Volume
| Issue : 2 | Page : 189-190
Use of a 'drinking straw' as a peel-away sheath in Urology
Chong Yoon Sin, AMVC Raju, G Gopalakrishnan
Department of Surgery, Sarawak General Hospital and University of Malaysia, Kuching, Sarawak, Malaysia
Department of Surgery, UNIMAS, Faculty of Medicine and Health Sciences, No. 9, Lot 2341, Bormill Commercial Estate, Jalan Tun Ahmed Zaidi Adruce. 93150, Kuching, Sarawak
Source of Support: None, Conflict of Interest: None
Keywords: Peel Away Sheath; Urology.
|How to cite this article:|
Sin CY, Raju A, Gopalakrishnan G. Use of a 'drinking straw' as a peel-away sheath in Urology. Indian J Urol 2001;17:189-90
| Indications|| |
Trocar cystostomy is a well described technique for bladder drainage. Numerous kits are available for this purpose. A drawback of these kits is the inability to place a selfretaining balloon catheter for drainage. Moreover, these catheters have a tendency to slip out before the track matures. Since most of our patients live in the interior of the state, reinsertion of a suitable catheter for bladder drainage becomes difficult. The Campbell fenestrated trocar  makes it possible to place a Foley catheter in the bladder. Most hospitals and primary care clinics do not possess the Campbell trocar but have a regular metal trocar and canula which is used for drainage of hydroceles and other cystic masses at surgery. We describe a technique using the existing trocar and canula along with an ordinary "drinking straw" sterilised by autoclaving or chemical (glutaraldehyde) to place a Foley catheter in the bladder for long-term drainage.
| Method|| |
Once the trocar with the canula is introduced into the bladder [Figure - 1], the trocar is removed and the straw is passed through the canula into the bladder. The canula is then removed and a 12Fr. Foley catheter is passed through the lumen of the straw into the bladder. The balloon is inflated and the straw cut away with a scissors. The same principle can be used after percutaneous nephrolithotripsy to place a Foley catheter for drainage or tamponade. In this case, the straw is passed through the Amplatz sheath and later cut away once it is ascertained that the catheter is in the collecting system.
| Comparision with Other Methods|| |
The techinque described does not suggest that the other methods of instituting bladder drainage are inferior. It serves to add to the surgical armamentarium in situations where due to non-availability of specific instruments, techniques using available equipment need to be devised. This technique has been used in this hospital for bladder drainage for some time and more recently after percutaneous procedures.
| References|| |
|1.||Lange PH. Diagnostic and Therapeutic Urologic Instrumentation. In: Walsh P. Gittes RF, Perlmutter A, Stanley TA. Campbell's Urology, 5 th edn. Saunders, Philadelphia, 1986: 1: 52. |
[Figure - 1]