Frequency of complications in ultrasound-guided percutaneous nephrostomy: An analysis using the modified clavien classification system.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI:10.47391/JPMA.21201

Muhammad Danial Iqbal, Mushtaq Ahmed, Ahmad Waleed, Tanzeel-Ur-Rahman Gazder, Syed Rabiullah, Hafiz Muhammad Saad

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引用次数: 0

Abstract

Objective: To determine the frequency of complications following percutaneous nephrostomy using the Modified Clavien Classification System in patients with urinary tract obstruction in a tertiary care setting.

Methods: The observational study was conducted at the Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, from August 18, 2022, to February 17, 2023, and comprised individuals of either gender aged 16- 70 years who were experiencing different types of urinary tract obstructions. The patients were subjected to percutaneous nephrostomy, and they were monitored for 15 days after the surgery. Complications post-procedure were noted using the Modified Clavien Classification System. Data was analysed using SPSS 26.

Results: Of the 90 patients with mean age 50.19±14.70 years, 53(58.9%) were males and 37(41.1%) were females. Grade I complications were observed in 37(41.1%) cases, grade II 8(8.9%), grade IIIa 11(12.2%), and grade IVa in 1 (1.1%) case. No complications were observed in 33(36.7%) cases. Complications were not significantly associated with age, gender, body mass index, site of insertion and comorbidities (p>0.05).

Conclusions: The most common complication observed in patients with urinary tract obstruction was grade I, followed by grade IIIA, while grade IVA had the least common incidence.

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.