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[Modelling longitudinal ureteroplasty in children].
Revista De Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Chirurgie
|March 1, 1980
Summary
The Hendren operation, a longitudinal ureteroplasty, effectively corrects large ureteral dilatations in children with primary or secondary megaureters. Accurate pre-operative kidney function assessment is crucial for successful outcomes.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Congenital Abnormalities
Context:
- Megaureter, a condition of ureteral dilation, affects pediatric patients.
- The Hendren operation (longitudinal ureteroplasty) is a surgical approach for managing megaureter.
- This study reviews personal experience with 29 ureteral modeling interventions in 16 children.
Purpose:
- To evaluate the efficacy, technique, and indications of modeling longitudinal ureteroplasties (Hendren operation) in pediatric megaureter.
- To assess the outcomes of this surgical technique in both primary and secondary megaureter cases.
- To highlight critical technical aspects and pre-operative considerations for successful ureteral modeling.
Summary:
- The Hendren operation was performed on 16 children (8 with primary, 8 with secondary megaureter), with bilateral procedures when necessary.
- Ureteral splinting was systematically used post-modeling and re-implantation in patients without prior derivations.
- Accurate pre-operative assessment of renal function is emphasized to avoid unnecessary interventions; upper ureteral modeling with pyeloplasty was required in 3 cases post-operatively.
Impact:
- The study confirms the value of modeling longitudinal ureteroplasties for direct correction of significant ureteral dilatations.
- This technique offers a viable solution for pediatric megaureter, improving patient outcomes.
- Highlights the importance of precise surgical planning and patient selection in pediatric urological reconstructive surgery.