Stenting antegrade via veress needle during laparoscopic PyeloplastY (“SAVVY” Technique)
Aim: The aim of the study is to report the outcomes of different stenting techniques during laparoscopic pyeloplasty (LP). Materials and Methods: This study was a retrospective audit of duration of stenting, complications encountered, and operative outcomes of LP in children older than 3 years. Re...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Journal of Indian Association of Pediatric Surgeons |
| Subjects: | |
| Online Access: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2019;volume=24;issue=2;spage=117;epage=119;aulast=Babu |
| _version_ | 1818135749468356608 |
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| author | Ramesh Babu Apurva Arora Niranjan Raj |
| author_facet | Ramesh Babu Apurva Arora Niranjan Raj |
| author_sort | Ramesh Babu |
| collection | DOAJ |
| description | Aim: The aim of the study is to report the outcomes of different stenting techniques during laparoscopic pyeloplasty (LP).
Materials and Methods: This study was a retrospective audit of duration of stenting, complications encountered, and operative outcomes of LP in children older than 3 years.
Results: Retrograde cystoscopic prestenting took significantly longer time (17.2 min) and the presence of stent hindered in anastomosis. Antegrade stenting without guide wire took longer time (9.6 min), and in some, there was difficulty in negotiating distal ureter. Antegrade stenting over guide wire, through a 14-gauge intravenous cannula, took significantly less time (7.3 min) although the cannula got kinked and the stenting was difficult in some as the length of the cannula was short and it did not reach anastomotic site. “Stenting Antegrade Via Veress needle during laparoscopic pyeloplastY” (“SAVVY” technique) favored by authors has the least stenting duration (4.8 min) and minimum failures (P = 0.01, ANOVA). The needle is wide enough to pass a 4-Fr stent and long enough to reach the anastomotic site.
Conclusion: SAVVY technique saves time during LP with least failures and is a useful stenting technique in children. |
| first_indexed | 2024-12-11T09:29:27Z |
| format | Article |
| id | doaj.art-380025370951468bba729023bd25893e |
| institution | Directory Open Access Journal |
| issn | 0971-9261 1998-3891 |
| language | English |
| last_indexed | 2024-12-11T09:29:27Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Pediatric Surgeons |
| spelling | doaj.art-380025370951468bba729023bd25893e2022-12-22T01:13:02ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912019-01-0124211711910.4103/jiaps.JIAPS_38_18Stenting antegrade via veress needle during laparoscopic PyeloplastY (“SAVVY” Technique)Ramesh BabuApurva AroraNiranjan RajAim: The aim of the study is to report the outcomes of different stenting techniques during laparoscopic pyeloplasty (LP). Materials and Methods: This study was a retrospective audit of duration of stenting, complications encountered, and operative outcomes of LP in children older than 3 years. Results: Retrograde cystoscopic prestenting took significantly longer time (17.2 min) and the presence of stent hindered in anastomosis. Antegrade stenting without guide wire took longer time (9.6 min), and in some, there was difficulty in negotiating distal ureter. Antegrade stenting over guide wire, through a 14-gauge intravenous cannula, took significantly less time (7.3 min) although the cannula got kinked and the stenting was difficult in some as the length of the cannula was short and it did not reach anastomotic site. “Stenting Antegrade Via Veress needle during laparoscopic pyeloplastY” (“SAVVY” technique) favored by authors has the least stenting duration (4.8 min) and minimum failures (P = 0.01, ANOVA). The needle is wide enough to pass a 4-Fr stent and long enough to reach the anastomotic site. Conclusion: SAVVY technique saves time during LP with least failures and is a useful stenting technique in children.http://www.jiaps.com/article.asp?issn=0971-9261;year=2019;volume=24;issue=2;spage=117;epage=119;aulast=BabuLaparoscopypyeloplastystenting |
| spellingShingle | Ramesh Babu Apurva Arora Niranjan Raj Stenting antegrade via veress needle during laparoscopic PyeloplastY (“SAVVY” Technique) Journal of Indian Association of Pediatric Surgeons Laparoscopy pyeloplasty stenting |
| title | Stenting antegrade via veress needle during laparoscopic PyeloplastY (“SAVVY” Technique) |
| title_full | Stenting antegrade via veress needle during laparoscopic PyeloplastY (“SAVVY” Technique) |
| title_fullStr | Stenting antegrade via veress needle during laparoscopic PyeloplastY (“SAVVY” Technique) |
| title_full_unstemmed | Stenting antegrade via veress needle during laparoscopic PyeloplastY (“SAVVY” Technique) |
| title_short | Stenting antegrade via veress needle during laparoscopic PyeloplastY (“SAVVY” Technique) |
| title_sort | stenting antegrade via veress needle during laparoscopic pyeloplasty savvy technique |
| topic | Laparoscopy pyeloplasty stenting |
| url | http://www.jiaps.com/article.asp?issn=0971-9261;year=2019;volume=24;issue=2;spage=117;epage=119;aulast=Babu |
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