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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Published on: November 22, 2019

Technique of intravesical laparoscopy for ureteric reimplantation to treat VUR

Atul A Thakre1, C K Yeung

  • 1Minimally Invasive Pediatric Urology Centre and Children's Continence Care Centre, Sterling Hospital, Ahmedabad, Gujarat, 380052, India. drthakre@gmail.com

Advances in Urology
|August 30, 2008
PubMed

Insights

Vesicoureteral reflux (VUR) affects 0.4-1.8% of children. This study presents laparoscopic intravesical ureteric reimplantation as a minimally invasive surgical option for pediatric VUR management.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Urologic Oncology

Background:

  • Vesicoureteral reflux (VUR) is a common condition in children, with prevalence ranging from 0.4% to 1.8%.
  • In pediatric patients experiencing urinary tract infections, VUR prevalence is significantly higher, between 30-50%, particularly in infants.
  • Traditional open ureteral reimplantation has been the standard surgical treatment for VUR, offering high success rates and low complication rates.

Purpose of the Study:

  • To present a minimally invasive surgical technique for managing pediatric VUR.
  • To highlight the application of laparoscopy in performing intravesical ureteric reimplantation.
  • To offer an alternative to open surgery for pediatric VUR correction.

Main Methods:

  • The study details the surgical technique of laparoscopic intravesical ureteric reimplantation.
  • This approach utilizes laparoscopic methods to access and reimplant the ureter within the bladder.
  • The technique is presented in the context of managing VUR in pediatric patients.

Main Results:

  • The abstract does not contain specific results data.
  • The established open surgical correction of VUR has a reported success rate of 99% in experienced hands.
  • The presented laparoscopic technique aims for similar efficacy with potential benefits of minimally invasive approaches.

Conclusions:

  • Laparoscopic intravesical ureteric reimplantation is presented as a viable surgical option for pediatric VUR.
  • This technique offers a minimally invasive alternative to traditional open surgery.
  • Further evaluation may be needed to compare outcomes with open reimplantation.

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