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[Nephroptosis in children]

A T Pulatov

    Khirurgiia
    |August 1, 1993
    PubMed
    Summary
    This summary is machine-generated.

    This study presents a modified surgical technique for pediatric nephroptosis (kidney prolapse), utilizing a psoas muscle graft to support the kidney. The procedure shows favorable outcomes in children, offering a new approach for treating severe kidney mobility.

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    Area of Science:

    • Pediatric Surgery
    • Nephrology
    • Urology

    Context:

    • Nephroptosis, or kidney prolapse, can cause significant discomfort and complications in children.
    • The Rivoir-Pytel-Lopatkin operation is a known surgical approach for this condition.
    • Modifications are explored to improve outcomes for severe cases (II-III degree nephroptosis).

    Purpose:

    • To describe a modified surgical technique for correcting severe pediatric nephroptosis.
    • To evaluate the efficacy and safety of this modified procedure using a psoas major muscle pedicle graft.

    Summary:

    • The modified operation involves meticulous mobilization of the kidney, ureter, and renal vessels.
    • A vascularized psoas major muscle graft is created and attached to the kidney's lower pole.

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  • Careful placement of the renal vessels relative to the aorta and inferior vena cava is emphasized.

    • Impact:

    • The described surgical modification offers a potentially effective treatment for pediatric nephroptosis.
    • Favorable short-to-mid-term results were observed in eight pediatric patients.
    • This technique may improve the management of kidney mobility disorders in children.