The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy
Joint Authors
Balbay, M. Derya
Serefoglu, Ege Can
Ozdemir, Ahmet Tunc
Altınova, Serkan
Canda, Abdullah Erdem
Atmaca, Ali Fuat
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-09-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To evaluate the incidence, management, and risk factors of pleural injuries occurring during open nephrectomy.
Methods.
Between June 2004/and June 2008, 165 patients (167 renal units) underwent open simple (n=37,22.2%), partial (n=39,23.4%) or radical (n=91,54.5%) nephrectomy in our institution.
Results.
Flank, Chevron, and abdominal midline incisions were used in 148(88.6%), 17(10.2%), and in 2(1.2%) surgical procedures, respectively.
Ribs were excised in 109(65.3%) procedures (11th rib, 10th-11th ribs, and 11th-12th ribs).
Intraoperative pleural injuries were detected in 20(12%) procedures, 16(80%) were treated successfully with simple evacuation technique, and 4 required chest tube insertion.
Age, sex, surgery type, incision type, and surgery site were not associated with pleural injury occurrence (P>.05).
Rib resection was the only parameter associated with pleural injury occurrence.
Conclusion.
Pleural injuries occur in 12% of open nephrectomy procedures, and 80% can be repaired successfully.
Few of them (2.4%) need chest tube insertion.
Performing rib resection is a significant risk factor for pleural injury occurrence during nephrectomies.
American Psychological Association (APA)
Atmaca, Ali Fuat& Canda, Abdullah Erdem& Serefoglu, Ege Can& Altınova, Serkan& Ozdemir, Ahmet Tunc& Balbay, M. Derya. 2009. The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy. Advances in Urology،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-510615
Modern Language Association (MLA)
Atmaca, Ali Fuat…[et al.]. The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy. Advances in Urology No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-510615
American Medical Association (AMA)
Atmaca, Ali Fuat& Canda, Abdullah Erdem& Serefoglu, Ege Can& Altınova, Serkan& Ozdemir, Ahmet Tunc& Balbay, M. Derya. The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy. Advances in Urology. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-510615
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510615