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Gil-Vernet antireflux surgery in children's primary vesicoureteral reflux

Alireza Mirshemirani1, Ahmad Khaleghnejad Tabari, Fatollah Roshanzamir

  • 1Pediatric Surgery Research Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Pediatric Surgery International
|July 15, 2010
PubMed

Insights

The Gil-Vernet antireflux surgery is effective for treating pediatric vesicoureteral reflux (VUR), demonstrating a high success rate and minimal complications. This surgical technique offers simplicity and efficiency in managing VUR in children.

Area of Science:

  • Pediatric Urology
  • Surgical Techniques
  • Vesicoureteral Reflux Management

Background:

  • Vesicoureteral reflux (VUR) is a common condition in children, characterized by the abnormal backward flow of urine from the bladder to the ureters.
  • Primary VUR often requires surgical intervention to prevent kidney damage and recurrent urinary tract infections.

Purpose of the Study:

  • To evaluate the outcomes of the Gil-Vernet antireflux surgery in children diagnosed with primary vesicoureteral reflux.
  • To assess the efficacy, complication rates, and success of this surgical technique in a pediatric population.

Main Methods:

  • A retrospective descriptive study was conducted on 72 children (104 refluxing units) who underwent Gil-Vernet antireflux surgery between December 2000 and November 2005.
  • Data collected included patient demographics, VUR grading, operative details, and post-operative outcomes, including success rates and complications.

Main Results:

  • The study included 72 patients (65% female) with a mean age of 4.35 years, predominantly with Grade III and IV VUR (76%).
  • The Gil-Vernet procedure achieved a high success rate, with 96.15% of refluxing units showing complete improvement and 3.84% down-graded.
  • No post-operative complications were reported, and the mean operative time was 55 minutes with a median hospital stay of 2 days.

Conclusions:

  • The Gil-Vernet antireflux technique is a valuable and effective surgical option for managing pediatric VUR.
  • Its advantages include simplicity, reduced operative time, a low complication rate, and a high success rate, making it a favorable choice for VUR treatment.
Abstract

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