Abdominoperineal pull-through with simultaneous extravesical detrussoraphy: An alternative surgical technique for congenital pouch colon with high-grade vesicoureteric reflux
Congenital pouch colon (CPC) is frequently associated with vesicoureteric reflux (VUR). These patients require long-term antibiotic prophylaxis and/or an additional surgical intervention for the management of the refluxing system. We propose a single-stage alternative approach in these patients. Two...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
|
| Series: | Journal of Indian Association of Pediatric Surgeons |
| Subjects: | |
| Online Access: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2018;volume=23;issue=1;spage=48;epage=50;aulast=Bawa |
| _version_ | 1818309281451081728 |
|---|---|
| author | Monika Bawa Ravi Kumar Garg Vedarth Dash Prema Menon K.L.N. Rao |
| author_facet | Monika Bawa Ravi Kumar Garg Vedarth Dash Prema Menon K.L.N. Rao |
| author_sort | Monika Bawa |
| collection | DOAJ |
| description | Congenital pouch colon (CPC) is frequently associated with vesicoureteric reflux (VUR). These patients require long-term antibiotic prophylaxis and/or an additional surgical intervention for the management of the refluxing system. We propose a single-stage alternative approach in these patients. Two patients diagnosed to have CPC underwent pouch excision and an end colostomy at birth. Further evaluation revealed high-grade reflux in both the patients. At 6 months of age, definitive abdominoperineal pull-through (APPT) surgery along with extravesical detrusorrhaphy was performed. In the follow-up at 1 year, they are thriving well with no urinary complaints. Micturating cystourethrogram revealed complete resolution of VUR. This approach takes the advantage of the anesthesia for APPT and offers a relatively simple and quick solution for the refluxing system, thus, enabling the stoppage of antibiotic prophylaxis and obviating the need for a future endoscopy/surgery. |
| first_indexed | 2024-12-13T07:27:40Z |
| format | Article |
| id | doaj.art-233dd3e5a29a4d9b9bc9ccbababac384 |
| institution | Directory Open Access Journal |
| issn | 0971-9261 1998-3891 |
| language | English |
| last_indexed | 2024-12-13T07:27:40Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Pediatric Surgeons |
| spelling | doaj.art-233dd3e5a29a4d9b9bc9ccbababac3842022-12-21T23:55:16ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912018-01-01231485010.4103/jiaps.JIAPS_20_17Abdominoperineal pull-through with simultaneous extravesical detrussoraphy: An alternative surgical technique for congenital pouch colon with high-grade vesicoureteric refluxMonika BawaRavi Kumar GargVedarth DashPrema MenonK.L.N. RaoCongenital pouch colon (CPC) is frequently associated with vesicoureteric reflux (VUR). These patients require long-term antibiotic prophylaxis and/or an additional surgical intervention for the management of the refluxing system. We propose a single-stage alternative approach in these patients. Two patients diagnosed to have CPC underwent pouch excision and an end colostomy at birth. Further evaluation revealed high-grade reflux in both the patients. At 6 months of age, definitive abdominoperineal pull-through (APPT) surgery along with extravesical detrusorrhaphy was performed. In the follow-up at 1 year, they are thriving well with no urinary complaints. Micturating cystourethrogram revealed complete resolution of VUR. This approach takes the advantage of the anesthesia for APPT and offers a relatively simple and quick solution for the refluxing system, thus, enabling the stoppage of antibiotic prophylaxis and obviating the need for a future endoscopy/surgery.http://www.jiaps.com/article.asp?issn=0971-9261;year=2018;volume=23;issue=1;spage=48;epage=50;aulast=BawaAbdominoperineal pull-throughcongenital pouch colonextravesical detrussorhaphyvesicoureteric reflux |
| spellingShingle | Monika Bawa Ravi Kumar Garg Vedarth Dash Prema Menon K.L.N. Rao Abdominoperineal pull-through with simultaneous extravesical detrussoraphy: An alternative surgical technique for congenital pouch colon with high-grade vesicoureteric reflux Journal of Indian Association of Pediatric Surgeons Abdominoperineal pull-through congenital pouch colon extravesical detrussorhaphy vesicoureteric reflux |
| title | Abdominoperineal pull-through with simultaneous extravesical detrussoraphy: An alternative surgical technique for congenital pouch colon with high-grade vesicoureteric reflux |
| title_full | Abdominoperineal pull-through with simultaneous extravesical detrussoraphy: An alternative surgical technique for congenital pouch colon with high-grade vesicoureteric reflux |
| title_fullStr | Abdominoperineal pull-through with simultaneous extravesical detrussoraphy: An alternative surgical technique for congenital pouch colon with high-grade vesicoureteric reflux |
| title_full_unstemmed | Abdominoperineal pull-through with simultaneous extravesical detrussoraphy: An alternative surgical technique for congenital pouch colon with high-grade vesicoureteric reflux |
| title_short | Abdominoperineal pull-through with simultaneous extravesical detrussoraphy: An alternative surgical technique for congenital pouch colon with high-grade vesicoureteric reflux |
| title_sort | abdominoperineal pull through with simultaneous extravesical detrussoraphy an alternative surgical technique for congenital pouch colon with high grade vesicoureteric reflux |
| topic | Abdominoperineal pull-through congenital pouch colon extravesical detrussorhaphy vesicoureteric reflux |
| url | http://www.jiaps.com/article.asp?issn=0971-9261;year=2018;volume=23;issue=1;spage=48;epage=50;aulast=Bawa |
| work_keys_str_mv | AT monikabawa abdominoperinealpullthroughwithsimultaneousextravesicaldetrussoraphyanalternativesurgicaltechniqueforcongenitalpouchcolonwithhighgradevesicouretericreflux AT ravikumargarg abdominoperinealpullthroughwithsimultaneousextravesicaldetrussoraphyanalternativesurgicaltechniqueforcongenitalpouchcolonwithhighgradevesicouretericreflux AT vedarthdash abdominoperinealpullthroughwithsimultaneousextravesicaldetrussoraphyanalternativesurgicaltechniqueforcongenitalpouchcolonwithhighgradevesicouretericreflux AT premamenon abdominoperinealpullthroughwithsimultaneousextravesicaldetrussoraphyanalternativesurgicaltechniqueforcongenitalpouchcolonwithhighgradevesicouretericreflux AT klnrao abdominoperinealpullthroughwithsimultaneousextravesicaldetrussoraphyanalternativesurgicaltechniqueforcongenitalpouchcolonwithhighgradevesicouretericreflux |