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[Ureteral replacement in newborn infants--case report].

P Sacher, P P Rickham, M Schwoebel

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |December 1, 1984
    PubMed
    Summary

    A novel ureteric replacement surgery successfully treated left ureteric stenosis in an infant. Post-surgery, the infant

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    Area of Science:

    • Pediatric Urology
    • Surgical Innovation
    • Renal Function Preservation

    Background:

    • Congenital ureteric stenosis poses a significant risk to renal development.
    • Effective surgical management is crucial for preserving kidney function in infants.
    • The Culp-de-Weerd and Cohen reimplantation techniques are established urological procedures.

    Observation:

    • A 2-month-old infant presented with critical stenosis of the left ureter.
    • A combined surgical approach utilizing a modified Culp-de-Weerd method and Cohen ureteric reimplantation was performed.
    • The procedure addressed the ileopelvic segment of the ureter.

    Findings:

    • The surgical intervention demonstrated successful anatomical and functional restoration of the left kidney.

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  • Seven months post-operation, the left kidney exhibited normal anatomy and function.
  • The combined technique proved effective in managing complex ureteric stenosis.

    • Implications:

    • This surgical approach offers a viable solution for complex ureteric stenosis in pediatric patients.
    • Preservation of renal anatomy and function is achievable with timely and appropriate surgical intervention.
    • Further studies could explore long-term outcomes and refine surgical techniques for ureteric reconstruction.