[Endoscopic nephropexy].
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.
Aboian
I A
IA
Grachev
S V
SV
Shiranov
A B
AB
Mitusov
V V
VV
D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery*; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D012079:Renal Circulation / Q000502:physiology; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D013520:Urologic Surgical Procedures / Q000379:methods*