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Round-Traction-Assisted Pyeloplasty (Ro.T.A.P.): A Minimal Approach Using Alexis<sup>®</sup>Autostatic Retractor

Open Journal of Urology 2015年第10期5卷 192-198页

作者： Vincenzo Domenichelli Maria Domenica Sabatino Simona Straziuso Francesco Italiano Silvana Federici Pediatric Surgical Unit “Infermi” Hospital AUSL Romagna Rimini Italy In charge of Pediatric Urology Unit “Infermi” Hospital AUSL Romagna Rimini Italy

Anderson-Hynes dismembered ureteropyeloplasty has been the gold standard surgical treatment for ureteropelvic junction obstruction (UPJO) caused either by crossing renal vessel or by a stenotic junction in children. Nowadays it is still discussed which could be the best surgical approach. All the techniques actually used have the goal to improve functional outcome and to reach better results in terms of reducing traumatic damage, postoperative pain and therefore reduction of hospitalization. We are presenting our experience in the treatment of UPJO by open dismembered pyeloplasty with a minimal invasive approach using the Alexis®(Applied Medical, Rancho Santa Margherita, CA) autostatic wound retractor.

关键词： Pyeloplasty Anderson-Hynes Alexis Minimally Invasive Surgery ujpo

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Evaluation of the Management Results of Uretero-Pelvic Junction Abnormalities

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Open Journal of Urology 2015年第9期5卷 167-171页

作者： Prince Pascal Hounnasso Josue Dejinnin Georges Avakoudjo Fouad Kolawale Yde Soumanou Ghislain Honvozo Djidjoho Michael Michel Agounkpe Gilles Natchagande Olivier Dandjlessa Magloire Dodji Yevi Mamadou Teoule Traore Djamal Jacquet Viyome Edoe Sewa Sosthène Ouedraogo Teaching University Hospital(CNHU-HKM)of Cotonou CotonouBenin Teaching University Hospital(CHD-OP)of Porto-Novo Porto-NovoBenin

Objectives: To evaluate therapeutic and prognosis of Uretero-pelvic junction abnomalities. Methods: This article was retrospective and descriptive, covering a period of six months, running from January 1st to December 31st, 2013 and conducted?to evaluate therapeutic and prognosis of Uretero-pelvic junction abnormalities. Included criteria were all patients whose diagnosis was abnormalities of the uretero-pelvic junction and had been confirmed after para clinical explorations. The stricture of the junction after a first kidney surgery did not include. The Creatinine level has considered high from 15 mg/l. Results: The median age was 35 years old. Age groups (30 - 40) years old have predominated in 36.2%. A male predominance had been noted in 62.3% versus 37.7% women. The most affected occupation was the officials in 37.7% of cases. The main reason for consultation was lumbar pain in 97.1%. The high creatinine level has observed in 19 patients (27.5%). Sixty-one patients (88.41%) have been operated. An abstention has been observed in 7 patients (10.14%) and one patient died before the surgical issue in renal failure. The early post-operative course has been uneventful in 78.7% (48 cases) and complicated in 21.3% (21 cases). Conclusions: Open surgery tends to disappear at the expense of the endopyelotomy and laparoscopy which gives best results. However, it is still relevant.

关键词： ujpo Management Open Surgery Early Postoperative

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