Further experience with the vascular hitch (laparoscopic transposition of lower pole crossing vessels): an alternate treatment for pediatric ureterovascular ureteropelvic junction obstruction

The Journal of Urology
Mohan S GundetiImran Mushtaq

Abstract

Standard treatment for ureterovascular ureteropelvic junction obstruction has been dismembered pyeloplasty. We previously reported the alternative technique of laparoscopic transposition of lower pole vessels (the vascular hitch) in pediatric patients. This report is an update of this select group of pediatric patients with intermediate followup. Patients underwent diagnostic renal sonography and (99m)technetium-mercaptoacetyltriglycine diuretic renography with additional magnetic resonance angiography in candidate patients. Radiographic criteria included moderate hydronephrosis with no caliceal dilatation and a well preserved cortex, poor renal drainage with preserved split function and lower pole crossing vessels. Intraoperative criteria included a normal ureter and ureteropelvic junction with peristalsis. Postoperatively patients were followed clinically, and with renal sonography and (99m)technetium-mercaptoacetyltriglycine renography at 1 and 2 months, respectively. Success was defined as symptom resolution with radiographic improvement in hydronephrosis and drainage with preserved renal function. Nine boys and 11 girls 7 to 16 years old (mean age 12.5) underwent laparoscopic transposition of crossing vessels, including 3 ...Continue Reading

References

Dec 1, 2000·The Urologic Clinics of North America·G JanetschekF Franscher

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Citations

Jan 19, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Katherine Herbst, Christina Kim
Aug 15, 2012·Journal of Pediatric Urology·Paul H Noh, Anish K Shah
Dec 15, 2011·Seminars in Roentgenology·Grace S Phillips, Angelisa Paladin
Jun 20, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Marcio Lopes MirandaJoaquim Murray Bustorff-Silva
Jan 3, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·O AbboP Galinier
May 31, 2016·Journal of Pediatric Urology·François-Xavier MadecMarc-David Leclair
Sep 27, 2016·Journal of Pediatric Urology·Mesrur Selcuk SilayTurhan Caskurlu
Jun 22, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Ibrahim Al-EmadiOlivier Abbo
Sep 15, 2021·Urologia·Teymursha MuradiAbdullah Can Basaklar
Jul 16, 2009·Current Opinion in Obstetrics & Gynecology

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