The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy
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 insti...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2009/948906 |
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| author | Ali Fuat Atmaca Abdullah Erdem Canda Ege Can Serefoglu Serkan Altinova Ahmet Tunc Ozdemir M. Derya Balbay |
| author_facet | Ali Fuat Atmaca Abdullah Erdem Canda Ege Can Serefoglu Serkan Altinova Ahmet Tunc Ozdemir M. Derya Balbay |
| author_sort | Ali Fuat Atmaca |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b21fc9f4ece540c2b11a1e7bd97e2d27 |
| institution | OA Journals |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-b21fc9f4ece540c2b11a1e7bd97e2d272025-08-20T02:23:19ZengWileyAdvances in Urology1687-63691687-63772009-01-01200910.1155/2009/948906948906The Incidence and Management of Pleural Injuries Occurring during Open NephrectomyAli Fuat Atmaca0Abdullah Erdem Canda1Ege Can Serefoglu2Serkan Altinova3Ahmet Tunc Ozdemir4M. Derya Balbay5Department of 1st Urology, Ankara Ataturk Training and Research Hospital, 06800 Ankara, TurkeyDepartment of 1st Urology, Ankara Ataturk Training and Research Hospital, 06800 Ankara, TurkeyDepartment of 1st Urology, Ankara Ataturk Training and Research Hospital, 06800 Ankara, TurkeyDepartment of 1st Urology, Ankara Ataturk Training and Research Hospital, 06800 Ankara, TurkeyDepartment of 1st Urology, Ankara Ataturk Training and Research Hospital, 06800 Ankara, TurkeyDepartment of 1st Urology, Ankara Ataturk Training and Research Hospital, 06800 Ankara, TurkeyObjective. 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.http://dx.doi.org/10.1155/2009/948906 |
| spellingShingle | Ali Fuat Atmaca Abdullah Erdem Canda Ege Can Serefoglu Serkan Altinova Ahmet Tunc Ozdemir M. Derya Balbay The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy Advances in Urology |
| title | The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy |
| title_full | The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy |
| title_fullStr | The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy |
| title_full_unstemmed | The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy |
| title_short | The Incidence and Management of Pleural Injuries Occurring during Open Nephrectomy |
| title_sort | incidence and management of pleural injuries occurring during open nephrectomy |
| url | http://dx.doi.org/10.1155/2009/948906 |
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