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Aug 19, 2020 4 tweets 3 min read
#Wednesdaywisdom
#pedsIR #PaediatricIR

Paediatric nephrostomy
(a short tweetorial)

Common indications

-Congenital obstruction – PUJ, VUJ
-Sepsis
-Post operative obstruction
-Stone disease / PCNL
-Fungal obstruction
-Tumoural obstruction
-Urinary diversion

1/4 Technique
•GA
•US guidance for access to PCS
• I I  for drain catheter placement

•Seldinger technique with Micropuncture access
–Modified or single exchange
•Trocar (‘single-stick’) technique

2/4