Pyonephrosis surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
* Prior to the 1980s, nephrectomy was the standard treatment for pyonephrosis.<ref name="pmid23716918">{{cite journal| author=Fatima R, Jha R, Muthukrishnan J, Gude D, Nath V, Shekhar S | display-authors=etal| title=Emphysematous pyelonephritis: A single center study. | journal=Indian J Nephrol | year= 2013 | volume= 23 | issue= 2 | pages= 119-24 | pmid=23716918 | doi=10.4103/0971-4065.109418 | pmc=3658289 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23716918 }} </ref> | *Prior to the 1980s, nephrectomy was the standard treatment for pyonephrosis.<ref name="pmid23716918">{{cite journal| author=Fatima R, Jha R, Muthukrishnan J, Gude D, Nath V, Shekhar S | display-authors=etal| title=Emphysematous pyelonephritis: A single center study. | journal=Indian J Nephrol | year= 2013 | volume= 23 | issue= 2 | pages= 119-24 | pmid=23716918 | doi=10.4103/0971-4065.109418 | pmc=3658289 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23716918 }} </ref> | ||
* Presently, interventional procedures are required to drain the pus in pyonephrosis. | *Presently, interventional procedures are required to drain the pus in pyonephrosis. | ||
* Drainage of the pus can be done through either retrograde catheterization (placing a catheter in the ureter) or percutaneous nephrostomy tube placement. | *Drainage of the pus can be done through either retrograde catheterization (placing a catheter in the ureter) or antegrade decompression through percutaneous nephrostomy tube placement | ||
* | *Retrograde decompression is a minimally invasive procedure that requires placement of catheter in ureters. It is performed under general anesthesia and is contraindicated in hemodynamically unstable patients. Ureteric stenting is a good option for drainage of pus. | ||
*Percutaneous nephrostomy catheter placement is done when patient is hemodynamically unstable | |||
==References== | ==References== | ||
Revision as of 07:20, 17 October 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Harsh Vardhan Chawla, M.B.B.S.[2]
Surgery
- Prior to the 1980s, nephrectomy was the standard treatment for pyonephrosis.[1]
- Presently, interventional procedures are required to drain the pus in pyonephrosis.
- Drainage of the pus can be done through either retrograde catheterization (placing a catheter in the ureter) or antegrade decompression through percutaneous nephrostomy tube placement
- Retrograde decompression is a minimally invasive procedure that requires placement of catheter in ureters. It is performed under general anesthesia and is contraindicated in hemodynamically unstable patients. Ureteric stenting is a good option for drainage of pus.
- Percutaneous nephrostomy catheter placement is done when patient is hemodynamically unstable
References
- ↑ Fatima R, Jha R, Muthukrishnan J, Gude D, Nath V, Shekhar S; et al. (2013). "Emphysematous pyelonephritis: A single center study". Indian J Nephrol. 23 (2): 119–24. doi:10.4103/0971-4065.109418. PMC 3658289. PMID 23716918.