Prediction of Infectious Complications after Percutaneous Nephrolithotomy

Introduction: Post-operative infection is one of the most common and potentially life-threatening complications following percutaneous nephrolithotomy, ranging from Systemic inflammatory response syndrome (SIRS) to severe sepsis. It is reported to be the most common peri-operative cause of death. D...

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Autores principales:	Raj Kumar Chhetri, Suman Baral, Neeraj Thapa
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2018
Materias:	Operation time Percutaneous nephrolithotomy Systemic inflammatory response syndrome Sepsis Stone burden Surgery RD1-811
Acceso en línea:	https://doaj.org/article/6320946e7c16431f9688ff6b861f4eb2
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spelling	oai:doaj.org-article:6320946e7c16431f9688ff6b861f4eb22021-12-05T19:15:55ZPrediction of Infectious Complications after Percutaneous Nephrolithotomy10.3126/jssn.v21i2.243551815-39842392-4772https://doaj.org/article/6320946e7c16431f9688ff6b861f4eb22018-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/24355https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Post-operative infection is one of the most common and potentially life-threatening complications following percutaneous nephrolithotomy, ranging from Systemic inflammatory response syndrome (SIRS) to severe sepsis. It is reported to be the most common peri-operative cause of death. Despite taking utmost precautions, we come across major complications such as haemorrhage and urosepsis after percutaneous nephrolithotomy. This study aims to find the risk factors for infectious complications after percutaneous nephrolithotomy. Methods: This was an observational, cross-sectional, analytical study carried out in the Department of Surgery of Lumbini Medical College and Teaching Hospital over a period of six months. Pre- operative and intra-operative parameters of ninety-seven patients who underwent percutaneous nephrolithotomy were analysed to see the association between perioperative and intraoperative factors in development of post-operative infectious complications. Results: Post-operatively, SIRS was observed in 28.9% of the patients and 6.2% developed post operative sepsis. Stone burden, types of stone, abnormal urinalysis and mean operative time were associated with post-operative SIRS while stone burden, abnormal urinalysis, positive urine culture and operation time were statistically associated with post-operative sepsis. In univariate analysis only mean operation time and mean stone burden were statistically associated in development of post operative SIRS and sepsis. Conclusion: In the present study mean operation time and mean stone burden were found to be the predictive factors for post-operative infectious complications after percutaneous nephrolithotomy. Raj Kumar ChhetriSuman BaralNeeraj ThapaSociety of Surgeons of NepalarticleOperation timePercutaneous nephrolithotomySystemic inflammatory response syndromeSepsisStone burdenSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 21, Iss 2 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Operation time Percutaneous nephrolithotomy Systemic inflammatory response syndrome Sepsis Stone burden Surgery RD1-811
spellingShingle	Operation time Percutaneous nephrolithotomy Systemic inflammatory response syndrome Sepsis Stone burden Surgery RD1-811 Raj Kumar Chhetri Suman Baral Neeraj Thapa Prediction of Infectious Complications after Percutaneous Nephrolithotomy
description	Introduction: Post-operative infection is one of the most common and potentially life-threatening complications following percutaneous nephrolithotomy, ranging from Systemic inflammatory response syndrome (SIRS) to severe sepsis. It is reported to be the most common peri-operative cause of death. Despite taking utmost precautions, we come across major complications such as haemorrhage and urosepsis after percutaneous nephrolithotomy. This study aims to find the risk factors for infectious complications after percutaneous nephrolithotomy. Methods: This was an observational, cross-sectional, analytical study carried out in the Department of Surgery of Lumbini Medical College and Teaching Hospital over a period of six months. Pre- operative and intra-operative parameters of ninety-seven patients who underwent percutaneous nephrolithotomy were analysed to see the association between perioperative and intraoperative factors in development of post-operative infectious complications. Results: Post-operatively, SIRS was observed in 28.9% of the patients and 6.2% developed post operative sepsis. Stone burden, types of stone, abnormal urinalysis and mean operative time were associated with post-operative SIRS while stone burden, abnormal urinalysis, positive urine culture and operation time were statistically associated with post-operative sepsis. In univariate analysis only mean operation time and mean stone burden were statistically associated in development of post operative SIRS and sepsis. Conclusion: In the present study mean operation time and mean stone burden were found to be the predictive factors for post-operative infectious complications after percutaneous nephrolithotomy.
format	article
author	Raj Kumar Chhetri Suman Baral Neeraj Thapa
author_facet	Raj Kumar Chhetri Suman Baral Neeraj Thapa
author_sort	Raj Kumar Chhetri
title	Prediction of Infectious Complications after Percutaneous Nephrolithotomy
title_short	Prediction of Infectious Complications after Percutaneous Nephrolithotomy
title_full	Prediction of Infectious Complications after Percutaneous Nephrolithotomy
title_fullStr	Prediction of Infectious Complications after Percutaneous Nephrolithotomy
title_full_unstemmed	Prediction of Infectious Complications after Percutaneous Nephrolithotomy
title_sort	prediction of infectious complications after percutaneous nephrolithotomy
publisher	Society of Surgeons of Nepal
publishDate	2018
url	https://doaj.org/article/6320946e7c16431f9688ff6b861f4eb2
work_keys_str_mv	AT rajkumarchhetri predictionofinfectiouscomplicationsafterpercutaneousnephrolithotomy AT sumanbaral predictionofinfectiouscomplicationsafterpercutaneousnephrolithotomy AT neerajthapa predictionofinfectiouscomplicationsafterpercutaneousnephrolithotomy
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Prediction of Infectious Complications after Percutaneous Nephrolithotomy

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