title: Percutaneous nephrostomy in infants and children.
abstract: Percutaneous nephrostomy drainage was established in 28 children, predominantly for ureteric obstruction. Infection was the most frequent presenting feature (nine patients) followed by renal failure (six) and a combination of the two (four). A sonographically guided antegrade examination was first performed with a 22-gauge needle. Using a posterolateral approach, a 6 or 8.3 French pigtail catheter was placed in the collecting system over a guide wire introduced through an 18 gauge needle. Catheter placement was successful in every patient; in 15 children, no further procedures were required. Complications were uncommon and usually minor.
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D014465:Ultrasonics; D014517:Ureteral Obstruction / Q000601:surgery*; D014546:Urinary Catheterization / Q000379:methods*