Endoscopic nephropexy
- Authors: Aboyan IA1, Grachev SV1, ShiranovA AВ1, Mitusov VV1
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Affiliations:
- Issue: No 2 (2004)
- Pages: 47-50
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/275085
- ID: 275085
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Abstract
In line with new prospects, introduction of laparoscopic technique
in nephropexy gave rise to some problems. One of them - postoperative
rotation of the kidney (RK). Upper-pole endovideosurgical
nephropexy (EVSN) with prolen net performed in the diagnostic
center "Zdoroviye" in 90 patients has demonstrated that late after surgery 9 (10%)
patients had pains provoked by RK and abnormal renal
circulation confirmed by dopplerography. In 1998 specialists of the
diagnostic center "Zdoroviye" developed a novel method of EVSN
providing elimination of the ptosis and RK. A total of 88 patients have
been operated since. 67 patients with nephroptosis and RK have undergone
nephropexy with a splitted flap of the prolen net, 21 patients
without RK - standard nephropexy. Long-term postoperative follow-up
showed that only 3 of 88 patients failed to retain normal velocity
of the major renal blood flow, though they improved this velocity
noticeably. Thus, a differentiated approach to EVSN based on
dopplerographic examination of the major renal blood flow brings
about improved treatment results in nephroptosis
in nephropexy gave rise to some problems. One of them - postoperative
rotation of the kidney (RK). Upper-pole endovideosurgical
nephropexy (EVSN) with prolen net performed in the diagnostic
center "Zdoroviye" in 90 patients has demonstrated that late after surgery 9 (10%)
patients had pains provoked by RK and abnormal renal
circulation confirmed by dopplerography. In 1998 specialists of the
diagnostic center "Zdoroviye" developed a novel method of EVSN
providing elimination of the ptosis and RK. A total of 88 patients have
been operated since. 67 patients with nephroptosis and RK have undergone
nephropexy with a splitted flap of the prolen net, 21 patients
without RK - standard nephropexy. Long-term postoperative follow-up
showed that only 3 of 88 patients failed to retain normal velocity
of the major renal blood flow, though they improved this velocity
noticeably. Thus, a differentiated approach to EVSN based on
dopplerographic examination of the major renal blood flow brings
about improved treatment results in nephroptosis
References
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