Experience of Using “Miniature” Access for Pyeloplasty in Children at the «Med Art Group» Clinic
Keywords:
In congenital hydronephrosis, obstruction of the pyeloureteral segment, pyeloplastyAbstract
Currently laparoscopic pyeloplasty is becoming increasingly popular in pediatric urology because it is less invasive compared to standard open pyeloplasty . However, the main criticism of this pyeloplasty technique in children is that there are some difficulties with tissue adjustment and intracorporeal suturing due to limited space. In addition, the duration of surgical intervention is a significant disadvantage of laparoscopic pyeloplasty , especially in children of the younger age group. Despite all the advantages associated with minimal invasiveness , there are alternative surgical treatments that show very impressive results. We performed open “miniature” pyeloplasty in a child with congenital hydronephrosis with good functional and cosmetic results. In addition, this approach allows wide exposure of the pelvic-urethral segment of the kidney and facilitates tissue manipulation.
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