[Nephropexy using a transverse musculofascial flap and the indications for it]

A nephropexy technique modified by the author implies dissection of the flap from musculus transversus abdominis and lumbodorsal fascia. The dissection of the fixing flap is made in the muscular-tendinous part of the musculus transversus abdominis with involvement of the lumbodorsal fascia and lumbocostal ligament. The flap is fixed to anterior surface of the kidney supracapsularly. The technique is adjusted for the following indications: vertically movable kidney with lateral dislocation of the upper pole and medial of the low pole; hypertension; simultaneous pelvic intervention; movable dystopic kidney with backward position of the renal sinus. The surgery was performed in 35 nephroptosis patients. Long-term results proved satisfactory.