Biochemic Evidence of the Presence of Urine in a Drain Following Surgery


Authors: J. Pacovsky;  P. Hušek;  M. Balík;  M. Louda;  J. Košina;  P. Navrátil;  M. Broďák
Authors‘ workplace: Urologická klinika FN a LF UK v Hradci Králové, přednosta: as. MUDr. Miloš Broďák, Ph. D.
Published in: Rozhl. Chir., 2011, roč. 90, č. 8, s. 478-481.
Category: Monothematic special - Original

Overview

Objective:
Evaluation of the laboratory investigations of the postoperative wound drains liquids containing urine and establishing the borderline levels for confirmation of the urine presence.

Patients group and the methods:
Biochemical analysis of the drain liquids, urine and blood serum from the 34 patients with confirmed urine leak out of the urinary tract. The urea, creatinine, natrium, potassium and chloride levels were measured in all samples.

Results:
The mean natrium, potassium, chlorides, urea and creatinine mean levels were 93.8 mmol/l, 15.9 mmol/l, 77.0 mmol/l, 73.3.

Key words:
urinary secretion – urea – creatinine – biochemistry


Sources

1. Racek, J., et al. Klinická biochemie, 1. vydání. Galén, Praha, 1999. ISBN 80 7262 023 1. Karolinum, Praha, 1999. ISBN 80 7184 971 5

2. Thomas, L. Clinical Laboratory Diagnostics: Use and Assessment of Clinical Laboratory Results. TH-Books-Verl.-Ges., Frankfurt/Main, 1998. ISBN 3-9805215-4-0

3. Masopust, J. Klinická biochemie. Požadování a hodnocení biochemických vyšetření. Karolinum, Praha, 1998. ISBN 80 7184 649 3

4. www.ciselniky.dasta.mzcr.cz

5. Vilos, G. A., Haebe, J., Crumley, T. L., Maruncic, M. A., King, J. H., Denstedt, J. D. Serum biochemical changes after laparoscopy may be indicators of bladder injury. J. Am. Assoc. Gynecol. Laparosc., 2001; 8: 285–290.

6. Tran, H., Petrovsky, N. A swollen abdomen. Pathology, 2004; 36: 193–195.

7. Goto, S., Yamadori, M., Igaki, N., Kim, J. L. L., Fukagawa, M. Pseudo-azotemia due to intraperitoneal urine leakage: a report of two CASE. Nephrol. Dial. Transplant. Plus, 2010; 3(5): 474–476.

8. Tai, C. K., Li, S. K., Hou, S. M., Fan, C. W. Bladder injury mimicking acute renal failure after cesarean section. Surg. Laparosc. Endosc. Percutan. Tech., 2008; 18: 301–303.

9. Al-Mandeel, H., Bassem, A. Urinary ascites secondary to delayed diagnosis of laparoscopic bladder injury. J. Min. Access Surg., 2010; 6(2): 50–52.

10. Flores-Gama, F., Bochicchio-Riccardelli, T., Mondragón-Ramírez, G. Determination of creatinine in drain liquid. Urinary leak of lymphocele? Cir. Cir., 2010; 78: 322–327.

11. Titton, R. L., Gervais, A. D., Hahn, P. F., Harisinghani, M. G., Arellano, R. S., Mueller, P. R. Urine Leaks and Urinomas: Diagnosis and Imaging-guided Intervention. RadioGraphics, 2003 (Sep); 23: 1133–1147.

12. Pešl, M., Šafařík, L., Sedláček, J., Dvořáček, J. Ureterokutánní píštělu pacientky s perirenálním hematomem. Urolog pro Praxi, 2004; (3): 133.

13. DeLange, E. E., Pauwels, K. J., Lobatto, S., Tjon Pian Gi-van Loon, C. E., Hoof, J. P. Scintigrafii detection of urinary lekage after kidney transplantation. Eur J Nucl Med 1982;7(2):55-57.

14. Benihani, M. N., Al-Azab, R. S., Waqfi, N. R., Kharashgah, M. N., Al Kanasta, A. R. A. Vesicocutaneous fistula presenting as a thigh abscess. Singapure Med. J., 2009; 50(2): 336–337.

Labels
Surgery Orthopaedics Trauma surgery
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account