ЭНДОСКОПИЧЕСКАЯ НЕФРОПЕКСИЯ
- Авторы: Абоян ИА1, Грачев СВ1, Ширанов АВ1, Митусов ВВ1
-
Учреждения:
- Диагностический центр "Здоровье"Ростов-на-Дону
- Выпуск: № 2 (2004)
- Страницы: 47-50
- Раздел: Статьи
- URL: https://journals.eco-vector.com/1728-2985/article/view/275085
- ID: 275085
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Аннотация
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
Об авторах
И А Абоян
Диагностический центр "Здоровье"Ростов-на-Донупроф.; Диагностический центр "Здоровье"Ростов-на-Дону
С В Грачев
Диагностический центр "Здоровье"Ростов-на-ДонуДиагностический центр "Здоровье"Ростов-на-Дону
А В Ширанов
Диагностический центр "Здоровье"Ростов-на-ДонуДиагностический центр "Здоровье"Ростов-на-Дону
В В Митусов
Диагностический центр "Здоровье"Ростов-на-ДонуДиагностический центр "Здоровье"Ростов-на-Дону
Список литературы
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- Онопко В. Ф. Хирургическое лечение нефроптоза и реабилитация больных в отдаленном послеоперационном периоде: Автореф. дис. ... канд. мед. наук. Иркутск; 1992.
- Левин Э. Г., Абоян И. А., Хитарьян А. Г., Лангода Н. В. Опыт апароскопической нефропексии. В кн.: По пути реформ преобразований: (Материалы Научно-практической конф., посвящ. 10-летнему юбилею Ростовской-на-Дону больницы скорой медицинской помощи № 2 в новых террториальных и социально-экономических условиях, 1997. Ростов н/Д; 1997. 97.
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