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  • 76 -4 (66) 2024 - Agzamhodjayev S.T., Ergashev K.T. - PNEUMOVESICOSCOPIC URETERAL REIMPLANTATION IN CHILDREN: EARLY RESULTS

76 -4 (66) 2024 - Agzamhodjayev S.T., Ergashev K.T. - PNEUMOVESICOSCOPIC URETERAL REIMPLANTATION IN CHILDREN: EARLY RESULTS

PNEUMOVESICOSCOPIC URETERAL REIMPLANTATION IN CHILDREN: EARLY RESULTS

Agzamhodjayev S.T. Children's National Medical Center, Uzbekistan Tashkent, Tashkent Pediatric Medical Institute

Ergashev K.T. Children's National Medical Center, Uzbekistan Tashkent

Rahmatullayev A.A. Tashkent Pediatric Medical Institute

Abdullayev Z.B. Children's National Medical Center, Uzbekistan Tashkent, Tashkent Pediatric Medical Institute

Hidoyatov K.Z. Children's National Medical Center, Uzbekistan Tashkent

Soliyev A.T. Children's National Medical Center, Uzbekistan Tashkent

Eshonqulov S.G. Children's National Medical Center, Uzbekistan Tashkent, Tashkent Pediatric Medical Institute

Xoltursunov D.Sh. Tashkent Pediatric Medical Institute

Resume

Actuality. Although the open ureteral reimplantation (UR) is the gold standard in the treatment of vesico-ureteral reflux (VUR), bladder trauma and longer postoperative recovery period are its cons features. Aim. The main goal of this research is to analyze the possibilities and results of the transvesicoscopic method in the minimally invasive surgical treatment of VUR and to show the age limit of this method. Materials and methods. In total, 22 patients underwent transvesicoscopic SNR surgery; 15 of the patients are girls and 7 are boys. All operations were performed by a single pediatric urologist between November 2021 and January 2024. In all patients, the primary VUR was identified and the indication for surgery was breakthrough urinary tract infection and high-grade VUR. The average age of patients was 56 months (13-205 months). 17 out of 22 patients had bilateral (Cohen cross-trigonal method), 5 had unilateral (Politano-Leadbetter in 4; Chumakov's method in 1) reflux. Results. All operations completed without conversion. Among the intraoperative complications, emphysema of the bladder (1), pneumoperitoneum (2) and hematoma of the abdominal wall (2) were observed. Postoperative complications included pyelonephritis (1) and bladder spasms (2). The average duration of the operation was 153 minutes (60-200 minutes) in unilateral cases and 211 minutes (130-420 minutes) in bilateral cases. The hospital stay was 6.7 days (4-9 days). Success was achieved in 20 of 22 patients (90.9%) or in 32 of 35 ureters (91.4%). Conclusion. Transvesicoscopic UR in children is considered a safe and effective minimally invasive method, and it is characterized by less trauma to the bladder, less postoperative recovery period, and the advantage of cosmetic appearance compared to the open method. This operation method can be used in patients older than one year.

Keywords:reimplantation; pneumovesicoscopy; vesico-ureteral reflux

First page

424

Last page

431

For citation: Agzamhodjayev S.T., Ergashev K.T., Rahmatullayev A.A., Abdullayev Z.B., Hidoyatov K.Z., Soliyev A.T., Eshonqulov S.G., Xoltursunov D.Sh. - PNEUMOVESICOSCOPIC URETERAL REIMPLANTATION IN CHILDREN: EARLY RESULTS//New Day in Medicine 4(66)2024 424-431 https://newdayworldmedicine.com/en/article/3758

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