Transmission of nonA/nonB hepatitis during coagulation pyelolithotomy.
The use of coagulum for renal stone surgery is an important yet less frequently used tool in the urological armamentarium. We report the first documented case of transmission of viral hepatitis during coagulum pyelolithotomy. We review the basic tenets of its use, with a brief discussion of the blood-borne transmission of viral particles and risk of hepatic injury with volatile anesthetic agents, and propose the continued safe use of coagulum by autologous donation of cryoprecipitate.
McVary
K T
KT
Department of Urology, Northwestern University Medical School, Chicago, Illinois.
O'Conor
V J
VJ
D005169:Factor VIII; D005340:Fibrinogen; D005353:Fibronectins; D006526:Hepatitis C / Q000635:transmission*; D006525:Hepatitis, Viral, Human / Q000635:transmission*; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D007682:Kidney Pelvis; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology
D005353:Fibronectins; C026912:cryoprecipitate coagulum; D005169:Factor VIII; D005340:Fibrinogen