title: Nonoperative management of complications of percutaneous renal nephrostomy.
abstract: Between 1984 and 1986 at the Wellesley Hospital in Toronto, 210 percutaneous renal nephrostomies were performed for drainage and 140 were done to provide access for nephrolithotomy. Less than 2% of the patients experienced complications requiring intervention and less than 0.5% required an open surgical approach for the management of procedure-related problems. Complications that were managed conservatively included splenic puncture, false aneurysm, laceration of the renal artery, arteriovenous fistula, hemorrhage requiring transfusion, pneumothorax-empyema, urinoma, septic shock and the hemolysis-hyponatremia-renal shutdown syndrome.
authors.affiliation: Department of Surgery, Wellesley Hospital, University of Toronto, Ont.
authors.forename: S D
authors.initials: SD
authors.lastname: Goldberg
authors.forename: R R
authors.initials: RR
authors.lastname: Gray
authors.forename: E L
authors.initials: EL
authors.lastname: St Louis
authors.forename: J
authors.initials: J
authors.lastname: Mahoney
authors.forename: M A
authors.initials: MA
authors.lastname: Jewett
authors.forename: A G
authors.initials: AG
authors.lastname: Keresteci
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000209:etiology; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects* / Q000379:methods; D012077:Renal Artery / Q000293:injuries; D013154:Spleen / Q000293:injuries; D014513:Ureter / Q000293:injuries