Gil-Vernet antireflux surgery in children's primary vesicoureteral reflux.
OBJECTIVE
The assessment of the results of Gil-Vernet antireflux surgery in children with primary vesicoureteral reflux.


METHODS
In a descriptive retrospective study, 72 patients with vesicoureteral reflux (VUR) and 104 refluxing units underwent Gil-Vernet antireflux surgery in Mofid children's hospital from Dec 2000 to Nov 2005. The study group was selected from among the patients with VUR who had been operated in our center. Data were collected from the medical records of the patients in the archive of the hospital and analyzed for gender, age, method of diagnosis, side of involvement, grading types, usage of catheter and stent, operating time, hospital stay, reflux down grading, operative success rate, recurrence and operative complication.


RESULTS
Among 72 patients, 47 (65%) were females and 25 (35%) were males with a mean age of 4.35 ± 2.96 years (range 1-13 years). 32 patients had bilateral and 40 had unilateral reflux, and 76% were in grades III and IV. Mean operative time was 55 ± 13 min, median hospital stay was 2 ± 0.9 days and mean follow-up period was 48 ± 9 months. Reflux was improved completely in 100 (96.15%) refluxing units, and down-graded in 4 (3.84%) units. Treatment was performed medically in 2 and surgically in 2 refluxing units, and all were improved successfully. There were no complications post-operatively.


CONCLUSIONS
Gil-Vernet antireflux technique is a useful method, and it has many advantages such as simplicity, shorter operative time, lower complication rate and high success rate.
Mirshemirani
Alireza
A
Pediatric Surgery Research Center, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Khaleghnejad Tabari
Ahmad
A
Roshanzamir
Fatollah
F
Shayeghi
Shahnaz
S
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013536:Suture Techniques; D016896:Treatment Outcome; D014563:Urodynamics; D014567:Urography; D013520:Urologic Surgical Procedures / Q000379:methods*; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*