China
Africa
Explore chapters and articles related to this topic
Postoperative Care of a PSARP Incision
Published in Marc A. Levitt, Pediatric Colorectal Surgery, 2023
If a Foley catheter remains in place for a period of time, be sure to educate the parents on proper Foley care, consistent with your institutional guidelines. Care instructions should include Foley cleaning as well as maintenance of catheter patency. Using a double diaper with the Foley draining into the outer diaper keeps the patient dry and minimizes the risk of inadvertent tugging of the catheter.
Induction Of Labor
Published in Vincenzo Berghella, Obstetric Evidence Based Guidelines, 2022
Theoretical risks associated with Foley catheter use include bleeding, fever, displacement of the presenting part, and premature rupture of membranes (PROM) (Figure 23.2). However, no randomized trial has shown an increase in these complications in comparison to other methods. Foley should not be used in women with low-lying placentas. Overall, the Foley catheter is an inexpensive, safe, well-tolerated, and easy tool for cervical dilation [56]. In a review of over 1200 low-risk women who received the intracervical Foley catheter for cervical ripening, there were no adverse events necessitating delivery in the pre-induction ripening period [57]. In a meta-analysis of 26 trials including 5563 women, there was no increased risk of infectious morbidity with Foley catheter use [56]. Foley is as effective as other methods, including misoprostol, and possibly safer than pharmaceutical methods and should be considered as first line in all inductions (see Chap. 21).
Anorectal malformation
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Marc A. Levitt, Richard J. Wood
A Foley catheter is inserted through the urethra. To avoid having the catheter enter the rectal fistula, the catheter must be intentionally directed anteriorly. A Coude catheter is a very useful catheter type for this purpose. Occasionally, the catheter must be positioned intraoperatively under direct vision once the fistula is visualized. Cystoscopic insertion of a catheter over a wire is another option.
Intrarectal Foley catheter-assisted high-intensity focused ultrasound ablation for benign uterine diseases beyond the treatment region
Published in International Journal of Hyperthermia, 2023
Wei Liu, Tae-Hee Kim, Lihui Huang, Xing Chen, Chunping Feng, Ling Liu, Li Zhang, Wen Zhang, Kun Zhou, Xiuni Gan
If the treatment regions were still outside the therapeutic range, a Foley catheter was placed in the rectum between the uterus and sacrum under US guidance. A nurse checked the integrity of the Foley catheter balloon, tested its elasticity and size, lubricated it with paraffin oil, and placed it in the rectum, under real-time US guidance. The balloon at the end of the Foley catheter, which fixes it in place, was filled with 30–120 ml of degassed water until the region to be treated moved into the HIFU therapeutic range. The length of the Foley catheter within the rectum and the volume of the injected water were recorded. The patients’ feelings of discomfort during Foley catheter placement, such as pain and emotional distress, were also recorded. This procedure is shown in Figure 1.
Urethral duplication with bilateral megaureter and bladder outlet obstruction: unusual case managed by PADUA technique
Published in Scandinavian Journal of Urology, 2022
Maria Escolino, Paolo Caione, Mariapina Cerulo, Benedetta Lepore, Annalisa Chiodi, Rachele Borgogni, Ciro Esposito
Postoperatively, the patient developed prolonged bladder retention, requiring suprapubic urinary diversion for 6 months. Progressive augmentation by gentle catheterization of the ventral urethra (PADUA) was performed [4], using a 3 F ureteral catheter as a guide to introduce an open tip 8 F Foley catheter passing into the bladder. The Foley catheter was left in place for approximately 8 weeks and replaced with larger ones at 2-month intervals until satisfactory caliber of urethra was achieved (12 F). Endoscopic section of the bladder neck was performed 6 months after the reconstructive surgery. One week later, the supravesical diversion was clamped, spontaneous voiding was obtained, and the urinary diversion was removed. Post-operative VCUG showed normal capacity bladder, with regular walls and no diverticula, and normal profile of the ventral urethra at voiding (Figure 3).
Outpatient colectomy—a dream or reality?
Published in Baylor University Medical Center Proceedings, 2022
Stephen Campbell, Alessandro Fichera, Scott Thomas, Harry Papaconstantinou, Rahila Essani
Same-day colectomy should be limited to minimally invasive surgery. The cases described here were all performed robotically. Consideration should be given to intracorporeal anastomosis creation if feasible. These cases should be done as the first case of the day to allow time for observation by the surgical team prior to discharge. The Foley catheter should be removed prior to extubation to maximize the time available for spontaneous voiding while the patient is in recovery. A transversus abdominis plane block can be performed intraoperatively or postoperatively by the anesthesia pain management team.7,8 In our patients, the blocks were performed postoperatively in the postanesthesia care unit. We followed our standard intraoperative ERAS guidelines for our case series. Additionally, these cases should be scheduled early in the week (Monday to Wednesday) to allow for close follow-up in clinic during the same week.