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54
Kelly's VV-plasty for catheterising channels; first reported case series
Sharon Mohan Kunnath1, Anu Paul1, Massimo Garriboli1
1Department of Paediatric Urology, Evelina London Children's Hospital, Westminster Bridge Road London SE1 7EH, UK.
Journal of Pediatric Urology
|May 30, 2024
Summary
The Kelly VV plasty offers a reliable method for creating skin openings for catheter channels like Mitrofanoff and ACE. This technique has shown success in patients, avoiding the need for revision surgery.
Area of Science:
- Urology
- Pediatric Surgery
- Surgical Technique
Background:
- Creating skin openings for catheterizing channels, such as Mitrofanoff and Antielemental Gastrostomy (ACE) channels, presents surgical challenges.
- The Kelly VV plasty is a recognized technique for this purpose, though detailed descriptions are limited.
Purpose of the Study:
- To evaluate the efficacy and robustness of the Kelly VV plasty technique with minor modifications for skin anastomosis of catheter channels.
- To assess the long-term outcomes and need for revision surgery in patients undergoing this procedure.
Main Methods:
- The study involved a modified Kelly VV plasty technique applied to 14 patients (9 children, 5 adults).
- The procedure was used for creating Mitrofanoff, ACE, and Monti channels.
- Follow-up data was collected to assess catheterization success and surgical outcomes.
Main Results:
- All 14 patients successfully continue to catheterize through the created channels.
- The median follow-up period was 25 months.
- No patients required revision surgery, indicating the technique's durability.
Conclusions:
- The modified Kelly VV plasty is a straightforward and robust solution for skin anastomosis in catheterizing channels.
- The technique demonstrates a low revision rate and merits wider adoption and further clinical evaluation.
