[Endoscopic nephropexy].

I A Aboian; S V Grachev; A B Shiranov; V V Mitusov

PubMed · 15114755

[Endoscopic nephropexy].

I A Aboian·S V Grachev·A B Shiranov·V V Mitusov

Abstract

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.

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Humans Kidney Kidney Diseases Laparoscopy Renal Circulation Treatment Outcome Ultrasonography, Doppler Urologic Surgical Procedures Journal Article

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I A Aboian, S V Grachev, A B Shiranov, V V Mitusov. [Endoscopic nephropexy].. https://pubmed.ncbi.nlm.nih.gov/15114755/

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