Valdés-Lares O, Sánchez-Mejía P, Cruz-Nuricumbo E, Carvajal-García R

Language: Spanish
References: 6
Page: 309-313
PDF size: 172.22 Kb.

ABSTRACT

Background: Double-J catheter placement via laparoscopy is frequently carried out. The most common technique is repositioning the patient for retrograde placement. An alternative method is presented in which there is no need to reposition the patient.
Materials and methods: In a ureteral model, a double-J catheter was placed by means of medial incision into a specially designed device consisting of tweezers and two guidewires. The device is situated inside an endo-trainer. Five urologists, each with different laparoscopy training levels, were evaluated in relation to the ease with which they performed the technique and the amount of time employed.
Results: Means and standard deviation of all data were 3.7696 and 2.3166, respectively. Minimum time was 1.45 minutes and maximum time was 14.47 minutes. No differences were found among mean values registered for the 5 participating urologists.
Discussion: Double-J catheter placement through ureteral incision in laparoscopy is traditionally a difficult procedure in which the patient is often repositioned for retrograde placement even though this increases morbidity, amount of materials used and length of time in surgery. Easy placement is possible with the new technique and in the future repositioning of the patient in laparoscopic surgery will be avoided.
Conclusions: With this new technique, trained urologists can safely and easily place a double-J catheter, most probably reducing both morbidity and length of time in surgery.

REFERENCES

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