Treatment of infants suffering from acute post renal failure after consumption of melamine contaminated powdered milk

Abstract

Objective To evaluate the surgical emergent treatments and curative effects on in- fants suffering from acute post renal failure by consumption of powdered milk contaminated by mela- mine. Methods Eleven cases were treated with retrograded catheterizations of ureter with semi-rigid ureteroscopy (F6.8) and 2 cases were treated with. The renal function was followed up in these pa- tients. Results Only 1 patient got anuria and whose haemoglobin continued to drop postoperatively. This patient underwent a redo operation and peritoneal dialysis. The other 12 patients recovered well. The renal function of all the 13 children got back to normal without surgical complications. Conclusions The technique of retrograded catheterization of ureters under ureteroscope was a minimally invasive, safe and effective therapy for infants with post renal acute renal failure by consumption of powdered milk contaminated by melamine. For those infants whose urethras are thin and small, is also an effec- tive method, But the bleeding tendency should be corrected before open. Key words: Infant; Kidney failure, acute; Ureteroscopes