title: The 'double hitch' manoeuvre in laparoscopic pyeloplasty - early experience.
abstract: Intra-corporeal anastomosis in laparoscopic pyeloplasty is laborious, time consuming and challenging. 14 children underwent laparoscopic dismembered pyeloplasty using a three port, transperitoneal approach over a one year period in whom a novel approach ("double hitch" manoeuvre) (Group-2, n = 9) was used and operating times compared with the conventional "single hitch" (Group-1, n = 5). The mean operating time in Group 1 (172.4 min) and in Group 2 (129.5 min) was significantly different. Mean follow up in Group-1 and Group-2 was 14 and 6 months respectively. Utilisation of the "double hitch" manoeuvre in laparoscopic pyeloplasty reduces the operating time and probably makes it less laborious.
authors: Department of Paediatric Urology, Great Ormond Street Hospital for Children NHS Foundation Trust, London WC1N 3JH, UK. abraham.cherian@gosh.nhs.uk
authors: Abraham
authors: A
authors: Cherian
authors: Hemant
authors: H
authors: Nemade
mesh_terms: D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013520:Urologic Surgical Procedures / Q000379:methods*