{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:26:29Z","timestamp":1787772389643,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"\n Aims<\/jats:title>\n The conventional Seldinger and trocar techniques of percutaneous nephrostomy (PCN) have inherent limitations in infants and younger children. We studied the role of a novel coaxial technique of PCN in children under the age of 5 years in comparison to the conventional techniques.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n This was a single-center feasibility trial based on 24 consecutive patients (\n n<\/jats:italic>\n = 24 kidneys) under the age of 5 years, conducted over 12 months, substratified into Group I (\n n<\/jats:italic>\n = 10): PCN with conventional Seldinger (\n n<\/jats:italic>\n = 2) and trocar (\n n<\/jats:italic>\n = 8) techniques and Group II (\n n<\/jats:italic>\n = 14): PCN with proposed coaxial technique. In the proposed technique, catheter was inserted through the bore of a 14-G needle. The observation parameters included successful placement of PCN into the renal pelvis with free drainage of urine, number of needle punctures, duration of procedure, need for fluoroscopy, and procedural complications.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Proposed technique was successful in all cases with single-needle puncture, while conventional techniques were successful in 8\/10 (80%) cases with multiple needle punctures required in 3\/10 (33.3%) cases (\n P<\/jats:italic>\n = 0.163 and 0.059, respectively). Proposed technique was associated with lower median procedure time (6 min vs. 10.5 min;\n P<\/jats:italic>\n < 0.001) and lower incidence of fluoroscopy use (0\/14, 0% vs. 5\/10, 50%;\n P<\/jats:italic>\n = 0.006) than the conventional techniques. No complications were seen with either technique.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The proposed coaxial technique is a feasible alternative to the conventional techniques of PCN in young children. It reduces the procedure time and the need for fluoroscopy in these patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_193_21","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T10:12:35Z","timestamp":1716545555000},"page":"553-557","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Novel coaxial technique of percutaneous nephrostomy in young children"],"prefix":"10.4103","volume":"27","author":[{"given":"Krithika","family":"Rangarajan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishnu Prasad","family":"Pulappadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabudh","family":"Goel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha","family":"Jana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raju","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivanand","family":"Gamanagatti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minu","family":"Bajpai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devasenathipathy","family":"Kandasamy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-8-20240905","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1016\/j.jvir.2015.11.045","article-title":"Quality improvement guidelines for percutaneous nephrostomy","volume":"27","author":"Pabon-Ramos","year":"2016","journal-title":"J Vasc Interv Radiol"},{"key":"R2-8-20240905","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.jvir.2017.09.017","article-title":"Pediatric percutaneous nephrostomy: A multicenter experience","volume":"29","author":"Shellikeri","year":"2018","journal-title":"J Vasc Interv Radiol"},{"key":"R3-8-20240905","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.diii.2017.07.002","article-title":"Percutaneous nephrostomy placement in infants and young children","volume":"99","author":"Hwang","year":"2018","journal-title":"Diagn Interv Imaging"},{"key":"R4-8-20240905","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/01.RVI.0000052301.26939.20","article-title":"Conventional versus modified technique for percutaneous nephrostomy in newborns and young infants","volume":"14","author":"Koral","year":"2003","journal-title":"J Vasc Interv Radiol"},{"key":"R5-8-20240905","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1001\/jama.1955.02950280015005","article-title":"Percutaneous trocar (needle) nephrostomy in hydronephrosis","volume":"157","author":"Goodwin","year":"1955","journal-title":"J Am Med Assoc"},{"key":"R6-8-20240905","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/S0022-5347(17)62877-5","article-title":"Silverman needle nephrostomy","volume":"98","author":"Cobb","year":"1967","journal-title":"J Urol"},{"key":"R7-8-20240905","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1136\/bmj.4.5684.657","article-title":"Percutaneous needle nephrostomy","volume":"4","author":"Ogg","year":"1969","journal-title":"Br Med J"},{"key":"R8-8-20240905","doi-asserted-by":"crossref","first-page":"51","DOI":"10.3109\/00365597209132081","article-title":"Percutaneous nephro-pyelostomy in cases of ureteral obstruction","volume":"6","author":"Jonson","year":"1972","journal-title":"Scand J Urol Nephrol"},{"key":"R9-8-20240905","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/j.jpurol.2012.06.001","article-title":"Radiation-free percutaneous nephrostomy performed on neonates, infants, and preschool-age children","volume":"9","author":"Sancaktutar","year":"2013","journal-title":"J Pediatr Urol"},{"key":"R10-8-20240905","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.diii.2016.08.010","article-title":"Rapid percutaneous nephrostomy catheter placement in neonates with the trocar technique","volume":"98","author":"Ozbek","year":"2017","journal-title":"Diagn Interv Imaging"},{"key":"R11-8-20240905","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1148\/radiology.151.3.6718719","article-title":"Percutaneous nephrostomy in neonates, infants, and children","volume":"151","author":"Winfield","year":"1984","journal-title":"Radiology"},{"key":"R12-8-20240905","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1016\/S0022-5347(17)46046-0","article-title":"Pediatric percutaneous nephrostomy: Experience with 50 patients","volume":"135","author":"Stanley","year":"1986","journal-title":"J Urol"},{"key":"R13-8-20240905","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0009-9260(87)80057-0","article-title":"Percutaneous nephrostomy in paediatrics","volume":"38","author":"Irving","year":"1987","journal-title":"Clin Radiol"},{"key":"R14-8-20240905","doi-asserted-by":"crossref","first-page":"791","DOI":"10.2214\/ajr.147.4.791","article-title":"Interventional genitourinary radiology in children: A review of 61 procedures","volume":"147","author":"Ball","year":"1986","journal-title":"AJR Am J Roentgenol"},{"key":"R15-8-20240905","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1148\/radiology.163.3.3575739","article-title":"New pediatric 5-F drainage system","volume":"163","author":"Towbin","year":"1987","journal-title":"Radiology"},{"key":"R16-8-20240905","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/0090-4295(90)80272-O","article-title":"Percutaneous nephrostomy in infants","volume":"36","author":"O'Brien","year":"1990","journal-title":"Urology"},{"key":"R17-8-20240905","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1007\/s00467-005-1845-5","article-title":"Percutaneous nephrostomy in children: Diagnostic and therapeutic importance","volume":"20","author":"Yavascan","year":"2005","journal-title":"Pediatr Nephrol"},{"key":"R18-8-20240905","doi-asserted-by":"crossref","first-page":"1617","DOI":"10.1007\/s00270-015-1144-x","article-title":"Ultrasound-guided percutaneous nephrostomy performed on neonates and infants using a \u201c14-4\u201d (Trocar and Cannula) technique","volume":"38","author":"Bas","year":"2015","journal-title":"Cardiovasc Intervent Radiol"},{"key":"R19-8-20240905","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1111\/pan.13390","article-title":"The impact of general anesthesia on child development and school performance: A population-based study","volume":"28","author":"Schneuer","year":"2018","journal-title":"Paediatr Anaesth"},{"key":"R20-8-20240905","first-page":"15","article-title":"Radiation risks to children from medical imaging","volume":"24","author":"Frush","year":"2013","journal-title":"Rev Med Clin Condes"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_193_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:42:34Z","timestamp":1787769754000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_193_21"}},"subtitle":["A feasibility study"],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_193_21","relation":{},"ISSN":["0971-9261"],"issn-type":[{"value":"0971-9261","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}