Use of hybrid access in children in repeated surgery on the vesicalureteral segment (case report)

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Abstract

New information is published annually on the advantages and disadvantages of surgical approaches and methods of antireflux operations in children, which leads to the emergence of «gold standards» in the correction of the megaureter. The choice of access, tactics and method of treatment is especially relevant for repeated surgical interventions for the megaureter due to the ineffectiveness or complications of the primary surgical intervention and the deficiency of the length of the ureter.

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About the authors

Е. N. Vrublevskaya

V.F. Voyno-Yasenetsky Scientific and Practical Center of Spicialized Medical Care for Children; Pirogov Russian National Research Medical University, Department of Pediatric Surgery

Author for correspondence.
Email: vrublevskaj@mail.ru
ORCID iD: 0000-0001-7312-5945

Doctor of Medical Sciences, Head of the Surgical Department, Associate Professor of the Department of Pediatric Surgery

Russian Federation, Moscow; Moscow

S. G. Vrublevskiy

V.F. Voyno-Yasenetsky Scientific and Practical Center of Spicialized Medical Care for Children; Pirogov Russian National Research Medical University, Department of Pediatric Surgery

Email: s.g.vrublevskiy@yandex.ru
ORCID iD: 0000-0001-9400-7673

MD, deputy head doctor for surgery, Professor of the Department of Pediatric Surgery

Russian Federation, Moscow; Moscow

F. О. Turov

V.F. Voyno-Yasenetsky Scientific and Practical Center of Spicialized Medical Care for Children

Email: Filipp_100@mail.ru
ORCID iD: 0000-0002-9301-7586

PhD, senior researcher, pediatric urologist – andrologist 

Russian Federation, Moscow

А. S. Vrublevskiy

V.F. Voyno-Yasenetsky Scientific and Practical Center of Spicialized Medical Care for Children

Email: a.s.vrublevskiy@yandex.ru
ORCID iD: 0000-0001-8550-8636

PhD, pediatric urologist-andrologist 

Russian Federation, Moscow

А. А. Oganisyan

V.F. Voyno-Yasenetsky Scientific and Practical Center of Spicialized Medical Care for Children

Email: oganisyanaa@yandex.ru
ORCID iD: 0000-0002-5495-4315

Pediatric surgeon of the surgical department 

Russian Federation, Moscow

R. Yu. Valiev

V.F. Voyno-Yasenetsky Scientific and Practical Center of Spicialized Medical Care for Children

Email: rudicov-rudic89@mail.ru
ORCID iD: 0000-0003-1805-9169

Pediatric surgeon of the surgical department 

Russian Federation, Moscow

Y. А. Galkina

V.F. Voyno-Yasenetsky Scientific and Practical Center of Spicialized Medical Care for Children

Email: g3003@list.ru
ORCID iD: 0000-0002-6206-1760

PhD, doctor of ultrasound diagnostics 

Russian Federation, Moscow

M. M. Khanov

V.F. Voyno-Yasenetsky Scientific and Practical Center of Spicialized Medical Care for Children

Email: 8_00@mail.ru
ORCID iD: 0000-0003-3354-5018

Pediatric surgeon of the surgical department 

Russian Federation, Moscow

I. S. Akhmetzhanov

V.F. Voyno-Yasenetsky Scientific and Practical Center of Spicialized Medical Care for Children

Email: npc-uro@yandex.ru
ORCID iD: 0000-0003-2517-7446

Pediatric urologist-andrologist of the surgical department 

Russian Federation, Москва

References

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  2. Cohen S.J. Ureterozystoneostomie: Eine neue antireflux Technik. Aktuelle Urol. 1975;6:1–1.
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  4. Sung J., Skoog S. Surgical management of vesicoureteral reflux in children. Pediatr Nephrol. 2012;27:551–561.
  5. Pokrajac D., Sefic-Pasic I., Begic A. Vesicoureteral Reflux and Renal Scarring in Infants After the First Febrile Urinary Tract Infection. Med Arch. 2018;72(4):272–275.
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  8. Lightfoot M., Bilgutay A.N., Tollin N., Eisenberg S., Weiser J., Bryan L., Smith E., Elmore J., Scherz H., Kirsch A.J. Long-Term Clinical Outcomes and Parental Satisfaction After Dextranomer/Hyaluronic Acid (Dx/HA) Injection for Primary Vesicoureteral Reflux. Front Pediatr. 2019;7:392.
  9. Turov F.O., Yatsyk S.P., Poddubnyi I.V., Glybina T.M., Bespalyuk O.I. Using various methods of intraoperative hemostasis in laparoscopic genitourinary surgery in children. Urologiia. 2018;2: 94–99. Doi: https://dx.doi.org/10.18565/urology.2018.2.94-99. Russian (Туров Ф.О., Яцык С.П., Поддубный И.В., Глыбина Т.М., Беспалюк О.И. Применение различных методов интра-операционного гемостаза при лапароскопических операциях на органах мочеполовой системы у детей. Урология. 2018;2: 94–99). Doi: https://dx.doi.org/10.18565/urology.2018.2.94-99
  10. Vrublevskiy A.S., Vrublevskiy S.G., Galkina Y.A., Oganisyan A.A., Valiev R.Yu., Ahmetzhanov I.S., Vrublevskaya E.N. Laparoscopic ureteral reimplantation in the recurrent vesicoureteral reflux in a 12-year-old child. Russian Journal of Pediatric Surgery. 2021;25(5):330-336. (In Russ.) https://doi.org/10.55308/1560-9510-2021-25-5-330-336 Russian (Врублевский А.С., Врублевский С.Г., Галкина Я.А., Оганисян А.А., Валиев Р.Ю., Ахметжанов И.С., Врублевская Е.Н. Лапароскопическая реимплантация мочеточника при рецидивах пузырно-мочеточникового рефлюкса у ребёнка 12 лет. Детская хирургия. Журнал им. Ю.Ф. Исакова. 2021;25(5):330–336. https://doi.org/10.55308/1560-9510-2021-25-5-330-336).

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Hybrid approach for left-sided lesions

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3. Fig. 2. Cystography of a boy 3 years 10 months old. before re-implantation of the left ureter

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4. Fig. 3. Cystography of a boy 3 years 10 months. 6 months after re-implantation of the left ureter

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