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[Gil-Vernet transvesical antirefluxplasty. Initial clinical experiences]
Der Urologe. Ausg. A
|July 1, 1987
Summary
The Gil-Vernet technique for surgical correction of vesicoureteral reflux advances ureteral orifices to lengthen the intramural ureter. This rapid, simple method preserves ureteral musculature and is effective for various reflux grades.
Area of Science:
- Urology
- Pediatric Surgery
Context:
- Vesicoureteral reflux (VUR) is a common condition in children.
- Surgical correction is often necessary for moderate to severe VUR.
- Existing surgical techniques have varying success rates and complexities.
Purpose:
- To present results of the Gil-Vernet technique for surgical correction of VUR.
- To evaluate the efficacy and advantages of this specific surgical approach.
Summary:
- The Gil-Vernet technique involves advancing ureteral orifices across the trigone using a submucosal mattress suture.
- This method increases the intramural length of the distal ureter.
- The procedure was applied to 18 cases of primary unilateral or bilateral VUR (grades II-IV).
Impact:
- The Gil-Vernet technique offers a rapid and simple surgical option for VUR.
- It preserves the intrinsic and extrinsic musculature of the terminal ureters.
- This technique is versatile, applicable to a range of VUR severities and laterality.