Related Experiment Video
Updated: Aug 14, 2026

Technical Considerations and Approach to Redo Foregut Surgery
Published on: September 22, 2023
Insights
This study details a combined surgical technique for treating vesicoureteral reflux in children. The modified Politano-Leadbetter procedure with orifice advancement proved successful in 37 renal units.
Area of Science:
- Pediatric Urology
- Surgical Innovation
Background:
- Vesicoureteral reflux (VUR) is a common condition in children.
- Existing surgical treatments for VUR have varying success rates and complication profiles.
Purpose of the Study:
- To describe and evaluate a novel surgical approach for VUR.
- To assess the efficacy of a combined Politano-Leadbetter procedure with orifice advancement.
Main Methods:
- A modified surgical technique combining the Politano-Leadbetter procedure with orifice advancement was employed.
- The procedure was performed on 26 pediatric patients, involving 37 renal units.
- Outcomes were compared to other established VUR surgical methods.
Main Results:
- The combined surgical approach demonstrated successful outcomes in all treated renal units.
- The technique was safely and effectively performed in a cohort of 26 children.
- No significant complications were reported during the study period.
Conclusions:
- The combined Politano-Leadbetter procedure with orifice advancement is a safe and effective surgical option for pediatric VUR.
- This modified technique offers a promising alternative for managing complex VUR cases.
- Further comparative studies are warranted to solidify its position among VUR treatments.
Abstract:
The described operation is a combination of the Politano-Leadbetter procedure with advancement of the orifice. This operation was successfully performed in 26 children (37 renal units). This method is compared to others.
Related Concept Videos
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Procedures V: ERCP
Patient...

