Laparoscopic Nephropexy: The Sliding Clip Technique
Prodromos Philippou1,2, Anastasios Michalakis3, Kyriakos Ioannou1,2
1St George's Medical School, University of Nicosia, Nicosia, Cyprus.
Journal of Endourology Case Reports
|October 26, 2020
Summary
Nephropexy, a laparoscopic surgery for kidney prolapse (nephroptosis), offers effective symptom relief. A new "sliding clip" technique simplifies kidney fixation during this procedure.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Nephroptosis involves abnormal kidney downward movement causing symptoms.
- Laparoscopic surgery has renewed interest in treating nephroptosis.
- Traditional laparoscopic kidney fixation sutures are challenging in confined spaces.
Purpose of the Study:
- To present a case of symptomatic nephroptosis managed with laparoscopic nephropexy.
- To introduce a modified technique for enhanced laparoscopic kidney fixation.
Main Methods:
- A 31-year-old female with symptomatic right nephroptosis underwent laparoscopic nephropexy.
- A "sliding clip" technique using sutures and polymer clips was applied for kidney fixation.
Main Results:
- The laparoscopic nephropexy effectively managed the patient's symptomatic nephroptosis.
- The "sliding clip" technique facilitated intracorporeal suturing and secure renal fixation.
Conclusions:
- Laparoscopic nephropexy is a safe and effective treatment for symptomatic nephroptosis.
- The "sliding clip" technique simplifies laparoscopic kidney fixation for urologists.
