PMID: 9187686Jun 1, 1997Paper

Conservative management of colon injury following percutaneous renal surgery

Urology
J M GerspachP Fugelso

Abstract

Colon injury during percutaneous renal surgery is rare and can result in significant morbidity. Our objective was threefold: (1) to identify risk factors for colon injuries; (2) to optimize prevention of such injuries; and (3) to devise a treatment strategy for optimal management of such colon injuries. Between July 1990 and July 1995, all percutaneous renal procedures performed at three kidney stone centers were reviewed (Kaiser Permanente Medical Center, Los Angeles; Hospital of the Good Samaritan, Los Angeles; and University of California at San Francisco). In addition, a review of the pertinent literature was performed. Five patients who suffered colon injuries during percutaneous renal surgery were identified. All had undergone percutaneous nephrolithotomy, and all injuries were extraperitoneal. Mean age was 31 years (range 17 to 52). Three patients were considered lean, and the other two were of average body habitus. Four of 5 patients were male. Three injuries occurred on the left side and two on the right. Recognition of colon injury occurred postoperatively in 4 patients and intraoperatively in 1 patient. Presenting signs and symptoms included fever, fecaluria, abdominal pain, and leukocytosis. High risk patients for c...Continue Reading

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Citations

May 19, 2011·World Journal of Urology·Hasan Serkan DoganBulent Oktay
Jun 22, 2012·Current Urology Reports·Hasan Serkan Dogan, Serdar Tekgul
Apr 2, 2009·Journal of Endourology·Fernando KorkesEric R Wroklawski
Jul 28, 2009·Journal of Endourology·A Andrew RayR John D'A Honey
Sep 15, 2009·Journal of Endourology·Olivier Traxer
May 2, 2012·Journal of Endourology·Emre GogerAhmet Ozturk
May 15, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Raymond B DyerRonald J Zagoria
May 27, 2014·Journal of Endourology·Ahmad Aref Al-DessoukeyAly Hussein Aly
Mar 29, 2003·Radiology·Michael J WallaceKenneth C Wright
Jun 25, 2013·Morphologie : Bulletin De L'Association Des Anatomistes·P Manyacka Ma NyembA Dia
Oct 27, 2009·Techniques in Vascular and Interventional Radiology·Raul N Uppot
Nov 11, 2006·European Urology·Maurice Stephan MichelJens Jochen Rassweiler
Aug 7, 2007·The Urologic Clinics of North America·C Charles Wen, Stephen Y Nakada
Apr 26, 2006·Urology·Ahmed R El-NahasHamdy A El-Kappany
Nov 18, 2003·BJU International·E M PaulA D Smith
Aug 25, 2005·Scandinavian Journal of Urology and Nephrology·Sudhanshu ChitaleNeil Burgess
Jun 5, 2016·The Surgical Clinics of North America·Johann P IngimarssonVernon M Pais
May 23, 1998·The Journal of Urology·L SantiagoL Tan
Nov 18, 2017·Urolithiasis·Daniel A Wollin, Glenn M Preminger
Jun 22, 1999·Academic Radiology·R J Zagoria, R B Dyer

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