The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy

Hong Caimei; Guo Xiaoxia; Lian Huizhao; Yang Qi; Ba Longhong; Chao Xinghui

doi:doi:10.11648/j.ajns.20200902.15

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The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy

Hong Caimei, Guo Xiaoxia, Lian Huizhao, Yang Qi, Ba Longhong, Chao Xinghui

Published in American Journal of Nursing Science (Volume 9, Issue 2)

Received: 13 January 2020 Accepted: 20 February 2020 Published: 6 March 2020

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Abstract

Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P< 0. 05). There is also a significant difference in the occurrence of constipation between the two groups with 6 cases in control group but 0 in observation group (χ²=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ²=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.

Published in	American Journal of Nursing Science (Volume 9, Issue 2)
DOI	10.11648/j.ajns.20200902.15
Page(s)	66-69
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Laparoscopic Surgery, Indwelling Urinary Catheters, Remove Time

References

[1]	Dellimore, K. H., Helyer, A. R., & Franklin, S. E. (2013). A scoping review of important catheter-induced complications. Journal of Materials Science Materials in Medicine, 24 (8), 1825−1835.
[2]	Ramanathan, R., & Duane, T. M. (2014). Urinary tract infections in surgical patients. Surgical Clinics of North America, 94 (6), 1351-1368.
[3]	Lam, T. B. L., Omar, M. I., Fisher, E., Gillies, K., & Maclennan, S. (2014). Types of indwelling urethral catheters for short-term catheterisation in hospitalised adults. Cochrane Database Syst Rev, 9 (9), CD004013-CD004013.
[4]	Li, L., Chen, J., Liu, Z., Li, Q., & Shi, Y. (2017). Enhanced recovery program versus traditional care after hepatectomy: a meta-analysis. Medicine, 96 (38), e8052.
[5]	Yang, R., Tao, W., Chen, Y. Y., Zhang, B. H., Tang, J. M., & Zhong, S., et al. (2016). Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic hepatectomy: a meta-analysis. International Journal of Surgery, 36, 274-282.
[6]	Wu, S., Chen, W., Shen, L., Xu, L., Zhu, A., & Huang, Y. (2017). Risk factors for prolonged hypotension in patients with pheochromocytoma undergoing laparoscopic adrenalectomy: a single-center retrospective study. Scientific Reports, 7 (1), 5897.
[7]	Fink, R., Gilmartin, H., Richard, A., Capezuti, E., Boltz, M., & Wald, H. (2012). Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in nurses improving care for healthsystem elders hospitals. American Journal of Infection Control, 40 (8), 715-720.
[8]	Rupp, M. E., Fitzgerald, T., Marion, N., Helget, V., Puumala, S., & Anderson, J. R., et al. (2004). Effect of silver-coated urinary catheters: efficacy, cost-effectiveness, and antimicrobial resistance. American Journal of Infection Control, 32 (8), 445-450.
[9]	Olsen-Scribner, R. J., Hayes, C., & Pottinger, P. (2014). Sustaining reduction of catheter-associated urinary tract infection (cauti) - outcomes after two educational methods in a regional university-affiliated medical center. American Journal of Infection Control, 42 (6), S22.
[10]	Sanjay, S., Trautner, B. W., Fowler, K. E., John, C., David, R., & Erica, L., et al. (2018). A multicenter study of patient-reported infectious and noninfectious complications associated with indwelling urethral catheters. JAMA Internal Medicine, 178 (8), 1078-1085.
[11]	Shimoni, Z. (2014). Reducing urinary catheter use in patients hospitalized in internal medicine departments. Harefuah, 153 (7), 411-4.
[12]	Mohsen Adib-Hajbaghery, & Mohammad Aghajani. (2009). Quality of care for patients with indwelling urinary catheter in selected hospitals in kashan, iran 2007. International Journal of Urological Nursing, 3 (2), 43-49.
[13]	Agarwal, B. K., & Agarwal, N. (2016). Randomized controlled trial on the efficacy of bladder training before removing indwelling urinary catheter in patients with acute urinary retention. China Biogas, 61 (2), 219-226.
[14]	Laan, B. J., Spijkerman, I. J. B., Godfried, M. H., Pasmooij, B. C., & Geerlings, S. E. (2017). De-implementation strategy to reduce the inappropriate use of urinary and intravenous catheters: study protocol for the ricat-study. BMC Infectious Diseases, 17 (1), 53.
[15]	Kwaan, M. R., Lee, J. T., Rothenberger, D. A., Melton, G. B., & Madoff, R. D. (2015). Early removal of urinary catheters after rectal surgery is associated with increased urinary retention. Diseases of the Colon & Rectum, 58 (4), 401-405.
[16]	Hu, Y., Craig, S. J., Rowlingson, J. C., Morton, S. P., Thomas, C. J., & Persinger, M. B., et al. (2014). Early removal of urinary catheter after surgery requiring thoracic epidural: a prospective trial. Journal of Cardiothoracic and Vascular Anesthesia, 28 (5), 1302-1306.

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APA Style

Hong Caimei, Guo Xiaoxia, Lian Huizhao, Yang Qi, Ba Longhong, et al. (2020). The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy. American Journal of Nursing Science, 9(2), 66-69. https://doi.org/10.11648/j.ajns.20200902.15

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ACS Style

Hong Caimei; Guo Xiaoxia; Lian Huizhao; Yang Qi; Ba Longhong, et al. The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy. Am. J. Nurs. Sci. 2020, 9(2), 66-69. doi: 10.11648/j.ajns.20200902.15

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AMA Style

Hong Caimei, Guo Xiaoxia, Lian Huizhao, Yang Qi, Ba Longhong, et al. The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy. Am J Nurs Sci. 2020;9(2):66-69. doi: 10.11648/j.ajns.20200902.15

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@article{10.11648/j.ajns.20200902.15,
  author = {Hong Caimei and Guo Xiaoxia and Lian Huizhao and Yang Qi and Ba Longhong and Chao Xinghui},
  title = {The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {2},
  pages = {66-69},
  doi = {10.11648/j.ajns.20200902.15},
  url = {https://doi.org/10.11648/j.ajns.20200902.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200902.15},
  abstract = {Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P2=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ2=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.},
 year = {2020}
}

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TY  - JOUR
T1  - The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy
AU  - Hong Caimei
AU  - Guo Xiaoxia
AU  - Lian Huizhao
AU  - Yang Qi
AU  - Ba Longhong
AU  - Chao Xinghui
Y1  - 2020/03/06
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200902.15
DO  - 10.11648/j.ajns.20200902.15
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 66
EP  - 69
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200902.15
AB  - Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P2=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ2=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.
VL  - 9
IS  - 2
ER  -

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Author Information

Hong Caimei

Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Guo Xiaoxia

Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Lian Huizhao

The First Affiliated Hospital, Jinan University, Guangzhou, China
Yang Qi

Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Ba Longhong

Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Chao Xinghui

Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Hong Caimei, Guo Xiaoxia, Lian Huizhao, Yang Qi, Ba Longhong, et al. (2020). The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy. American Journal of Nursing Science, 9(2), 66-69. https://doi.org/10.11648/j.ajns.20200902.15

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ACS Style

Hong Caimei; Guo Xiaoxia; Lian Huizhao; Yang Qi; Ba Longhong, et al. The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy. Am. J. Nurs. Sci. 2020, 9(2), 66-69. doi: 10.11648/j.ajns.20200902.15

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AMA Style

Hong Caimei, Guo Xiaoxia, Lian Huizhao, Yang Qi, Ba Longhong, et al. The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy. Am J Nurs Sci. 2020;9(2):66-69. doi: 10.11648/j.ajns.20200902.15

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@article{10.11648/j.ajns.20200902.15,
  author = {Hong Caimei and Guo Xiaoxia and Lian Huizhao and Yang Qi and Ba Longhong and Chao Xinghui},
  title = {The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {2},
  pages = {66-69},
  doi = {10.11648/j.ajns.20200902.15},
  url = {https://doi.org/10.11648/j.ajns.20200902.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200902.15},
  abstract = {Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P2=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ2=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy
AU  - Hong Caimei
AU  - Guo Xiaoxia
AU  - Lian Huizhao
AU  - Yang Qi
AU  - Ba Longhong
AU  - Chao Xinghui
Y1  - 2020/03/06
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200902.15
DO  - 10.11648/j.ajns.20200902.15
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 66
EP  - 69
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200902.15
AB  - Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P2=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ2=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.
VL  - 9
IS  - 2
ER  -

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