2003, Number 4
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Cir Cir 2003; 71 (4)
Hydropneumatic dilatation of the ureter. A technical option in ureteropyeloplasty
Gallego-Grijalva JE, Jaimes-Jiménez R, Alvarado-García R, Terriquez-Rodríguez S
Language: Spanish
References: 16
Page: 296-299
PDF size: 55.45 Kb.
ABSTRACT
Introduction: The pyeloureteric junction (UP) is the site of
obstruction commonest in the upper tract urinary. Several surgical
techniques exist and the main complication is the stricture by
the disproportion between both ends. The hydropneumatic dilatation
of the ureteric would increase of the 5:1 to 2:1 the light of the
ureter, improving technically anastomosis and reducing complications.
Material and methods: They studied 27 patients with diagnose of
Estenosis UP in the Paediatric Urologist Service of CMN 20 of
November of the ISSSTE, being made dismembered Pyeloplasty
pyeloureteric in all, introducing Fogarty catheter in the Ureter
carrying out the hydropneumatic dilatation of the same one,
introduction of catheter double J in ureter and in the last patient
without this, previous one to the anastomosis. All had a pursuit of
6 months.
Results: Of the 27 patients, 21 masculine ones (77.78%), 6 feminine
ones (22.22%), of the right side 10 (37.04%), left 14 (51.85%) and
bilateral 3 (11.11%). In the 27 studied patients postoperating
complications did not appear.
To all the patients I am made the dilatation to them hydropneumatics
of the Ureter during UP plasty, did not present/display
postoperating complications, the anastomosis is carried out
with greater technical facility since the light of the Ureteric
increase from 5:1 in 2:1, and in I complete case withou
t ferulization of the Ureter, I do not present/display complications.
Discussion: The hydropneumatics dilatation of the Ureter is a
technical option in the Surgical handling of stricture UP,
facilitating the anastomosis, diminishing the postoperating
complications, making the ferulization do withoutible of the
Ureter.
REFERENCES
Mouriquand P. Congenital anomalies of the pyeloureteral junction and the ureter. O’Neill James A. Vol. 2. 5th Edition. Edit. Mosby, 1998: pp. 1591-1609.
González R, Schimke CM. Ureteropelvic junction obstruction in infants and children. Pediat Clin North Am 2001;48(6):1505-18.
Egan SC, Stock JA, Hanna MK. Renal ultrasound changes after internal double-J stented pyeloplasty for Ureteropelvic junction obstruction. Techniq In Urol 2001;7(4):276-80.
Rohmann D, Snyder HM, et al. The Operative Management of Recurrent Ureteropelvic Junction Obstruction. J Urol 1997;158(3):1257-1259.
Diamond DA, Nguyen H. Dismembered V- Flap Pyeloplasty. J Urol 2001;166:233-235.
Fasihunddin Q, Abel F, Shoeder RJ. Effectiveness of endoscopic and open surgical Management in benign ureteral strictures. J of the Pakistan Med Assoc 2001;51(10):351-3.
Ahmed S, Crankson S. Non-intubated pyeloplasty for pelviureteric junction obstruction in children. Ped Surg International 1997;12(5-6):389-92.
Mckenzie RK, Youngson GG. Gregory RS. Is there a role for balloon dilatation of pelvi-ureteric obstruction in children? J of Pediatr Surg 2002;37(6):893-6.
Punekar SV, Rao SR, Smith RV. Balloon dilatation of ureteric strictures. J of Postgraduate Med 2000;46(1):23-5.
Osther PJ, Geertsen U, Nielsen HV. Ureteropelvic junction obstruction and ureteral strictures treated by simple high-pressure balloon dilatation. J Endourology 1998;12(5):429-31.
Angulo JM, Arteaga R, Robledo JI. Role of retrograde endoscopic dilatation with balloon and derivation using double pig-tail catheter as an initial treatment for vesico-ureteral junction stenosis in children. Cirugía Ped 1998;11(1):15-8.
Webber RJ, Pandian SS, Sigler RL. Retrograde balloon dilatation for pelviureteric junction obstruction: long-term follow-up. J Endourology 1997;11(4):239-42.
Wilkinson AG, Azmy A. Balloon dilatation of the pelviureteric junction in children: early experience and pitfalls. Pediatr Radiol 1996;26(12):882-6.
Ahmed S. Retrograde balloon dilatation for primary pelvi-ureteric stenosis. Br J Urol 1997;80(2):361.
Sugita Y, Clarnette T, Hutson JM. Retrograde balloon dilatation for primary pelvi-ureteric junction stenosis in children. Br J Urol 1996;77(4):587-589.
Tan HL. Laparoscopic Anderson-Hynes Dismembered pyeloplasty in children using needlescopic. Urol Clin North Am 2001;28(1):43-51.
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