Preliminary experience with laparoscopic Foley′s YV plasty for ureteropelvic junction obstruction in children

Introduction: Laparoscopic dismembered pyeloplasty is an acceptable option for ureteropelvic junction (UPJ) obstruction in the paediatric population. We compared our results of laparoscopic dismembered and non-dismembered Foley′s YV pyeloplasty. Materials and Methods: Children presenting with hydron...

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Main Authors: Rajendra B Nerli, Mallikarjun N Reddy, Sujata M Jali, Murigendra B Hiremath
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=72;epage=75;aulast=Nerli
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author Rajendra B Nerli
Mallikarjun N Reddy
Sujata M Jali
Murigendra B Hiremath
author_facet Rajendra B Nerli
Mallikarjun N Reddy
Sujata M Jali
Murigendra B Hiremath
author_sort Rajendra B Nerli
collection DOAJ
description Introduction: Laparoscopic dismembered pyeloplasty is an acceptable option for ureteropelvic junction (UPJ) obstruction in the paediatric population. We compared our results of laparoscopic dismembered and non-dismembered Foley′s YV pyeloplasty. Materials and Methods: Children presenting with hydronephrosis secondary to UPJ obstruction formed the study group. Foley′s YV plasty was planned whenever it was observed that a tension free dismembered pyeloplasty was not possible in spite of all possible manoeuvres. Children were followed up for urinary infection, and renogram was repeated after 3 months. Results: During the study period, 108 children (63 male and 45 female) with a mean age of 4.94 ± 2.78 years underwent laparoscopic dismembered pyeloplasty and the remaining 11 children (5 male and 6 female) with a mean age of 4.00 ± 1.776 years underwent laparoscopic Foley′s YV plasty. There were no major peri-operative complications noted and conversion to open was not necessary in any child. Renogram done at 3 months post-operatively showed good drainage and improvement of renal function. Conclusions: Laparoscopic Foley′s YV pyeloplasty is a safe and effective technique in appropriately selected cases of primary UPJ obstruction in children.
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spelling doaj.art-34e17c98205f426b9cc45f6a1c9a34b02022-12-22T00:50:21ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212014-01-01102727510.4103/0972-9941.129953Preliminary experience with laparoscopic Foley′s YV plasty for ureteropelvic junction obstruction in childrenRajendra B NerliMallikarjun N ReddySujata M JaliMurigendra B HiremathIntroduction: Laparoscopic dismembered pyeloplasty is an acceptable option for ureteropelvic junction (UPJ) obstruction in the paediatric population. We compared our results of laparoscopic dismembered and non-dismembered Foley′s YV pyeloplasty. Materials and Methods: Children presenting with hydronephrosis secondary to UPJ obstruction formed the study group. Foley′s YV plasty was planned whenever it was observed that a tension free dismembered pyeloplasty was not possible in spite of all possible manoeuvres. Children were followed up for urinary infection, and renogram was repeated after 3 months. Results: During the study period, 108 children (63 male and 45 female) with a mean age of 4.94 ± 2.78 years underwent laparoscopic dismembered pyeloplasty and the remaining 11 children (5 male and 6 female) with a mean age of 4.00 ± 1.776 years underwent laparoscopic Foley′s YV plasty. There were no major peri-operative complications noted and conversion to open was not necessary in any child. Renogram done at 3 months post-operatively showed good drainage and improvement of renal function. Conclusions: Laparoscopic Foley′s YV pyeloplasty is a safe and effective technique in appropriately selected cases of primary UPJ obstruction in children.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=72;epage=75;aulast=NerliLaparoscopypyeloplastyureteropelvic junction obstruction
spellingShingle Rajendra B Nerli
Mallikarjun N Reddy
Sujata M Jali
Murigendra B Hiremath
Preliminary experience with laparoscopic Foley′s YV plasty for ureteropelvic junction obstruction in children
Journal of Minimal Access Surgery
Laparoscopy
pyeloplasty
ureteropelvic junction obstruction
title Preliminary experience with laparoscopic Foley′s YV plasty for ureteropelvic junction obstruction in children
title_full Preliminary experience with laparoscopic Foley′s YV plasty for ureteropelvic junction obstruction in children
title_fullStr Preliminary experience with laparoscopic Foley′s YV plasty for ureteropelvic junction obstruction in children
title_full_unstemmed Preliminary experience with laparoscopic Foley′s YV plasty for ureteropelvic junction obstruction in children
title_short Preliminary experience with laparoscopic Foley′s YV plasty for ureteropelvic junction obstruction in children
title_sort preliminary experience with laparoscopic foley s yv plasty for ureteropelvic junction obstruction in children
topic Laparoscopy
pyeloplasty
ureteropelvic junction obstruction
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=72;epage=75;aulast=Nerli
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AT mallikarjunnreddy preliminaryexperiencewithlaparoscopicfoleysyvplastyforureteropelvicjunctionobstructioninchildren
AT sujatamjali preliminaryexperiencewithlaparoscopicfoleysyvplastyforureteropelvicjunctionobstructioninchildren
AT murigendrabhiremath preliminaryexperiencewithlaparoscopicfoleysyvplastyforureteropelvicjunctionobstructioninchildren