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Factores relacionados con una complicación grado IIIa de Clavien tras una nefrolitotomía percutánea. Revisión de la literatura. [caso clínico]

Por: Miranda Utrera, Natalia [ Urología] | Pamplona Casamayor, Manuel [Urología] | Borruel Nacenta, Susana [Radiología] | Villar Esnal, R [Urología] | Díaz González, Rafael [Urología].
Colaborador(es): Servicio de Urología.
Tipo de material: materialTypeLabelArtículoEditor: Archivos españoles de urología, 2014Descripción: 67(2):206-9.Recursos en línea: Solicitar documento Resumen: Objective: We review the literature about bleeding complications of percutaneous nephrolithotomy (PCNL) and the application of the modified Clavien system classification. Methods: We present a 38 year old man who underwent left PCNL with acute severe hematuria during the immediate postoperatory time. We review the literature and analyze the usefulness of the modified Clavien system to grade perioperative complications. Results: Conservative management was insufficient so we had to perform arteriography and superselective embolization to solve the acute arterial bleeding. According to Clavien's classification, our case would be included within the grade 3a group complications. Conclusions: The complications following a PCNL are not uncommon. However most of them are not severe. The modified Clavien system, used for classifying complications after performing PCNL, can be useful for reporting results in an objective and replicable way.
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Formato Vancouver:
Miranda-Utrera N, Pamplona Casamayor M, Borruel Nacenta S, Villar Esnal R, Diaz Gonzalez R. Factores relacionados con una complicación grado IIIa de Clavien tras una nefrolitotomía percutánea. Revisión de la literatura. Arch Esp Urol. 2014 Mar;67(2):206-9.

PMID: 24691045

Contiene 5 referencias

Objective: We review the literature about bleeding complications of percutaneous nephrolithotomy (PCNL) and the application of the modified Clavien system classification.
Methods: We present a 38 year old man who underwent left PCNL with acute severe hematuria during the immediate postoperatory time. We review the literature and analyze the usefulness of the modified Clavien system to grade perioperative complications.
Results: Conservative management was insufficient so we had to perform arteriography and superselective embolization to solve the acute arterial bleeding. According to Clavien's classification, our case would be included within the grade 3a group complications.
Conclusions: The complications following a PCNL are not uncommon. However most of them are not severe. The modified Clavien system, used for classifying complications after performing PCNL, can be useful for reporting results in an objective and replicable way.

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