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Complications after extravesical antireflux operations

P J Funke, R Chiari, K Planz

International Urology and Nephrology

|January 1, 1980

Summary

The Lich-Grégoir antireflux operation is a low-stress procedure with a 4.5% complication rate. Key complications include bladder mucosa lesions, reflux recurrence, and ureteral stricture or fistula, often requiring reoperation.

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Area of Science:

Urology
Surgical Procedures

Background:

Vesicoureteral reflux (VUR) is a common condition in pediatric urology.
Antireflux surgery aims to prevent urine from flowing backward into the ureters.
The Lich-Grégoir technique is a widely used surgical approach for VUR.

Purpose of the Study:

To evaluate the outcomes of the Lich-Grégoir antireflux operation.
To identify and analyze intraoperative and postoperative complications.
To discuss reoperation rates and timing for identified complications.

Main Methods:

Retrospective analysis of 176 cases undergoing the Lich-Grégoir antireflux operation.
Documentation of intraoperative findings and postoperative complications.
Review of reoperation data for recurrent reflux, ureteral stricture, and fistula.

Main Results:

The Lich-Grégoir operation demonstrated a 4.5% overall complication rate.
Intraoperative complications primarily involved bladder mucosa lesions.
Postoperative complications requiring reoperation included reflux recurrence, ureteral stricture, and ureteral fistula.

Conclusions:

The Lich-Grégoir antireflux procedure is technically feasible with minimal surgical stress.
Careful surgical technique can minimize intraoperative bladder injuries.
Postoperative surveillance is crucial for early detection and management of complications like reflux recurrence and ureteral issues.

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