title: Laparoscopic nephropexy with polymer clips.
abstract: OBJECTIVE
  We present our initial experience and long-term results with transperitoneal laparoscopic nephropexy with nonabsorbable polymer clips.
  
  
  METHODS
  Seven patients aged 34 to 47 years previously diagnosed with mobile kidney presented with chronic pain refractory to analgesics and underwent a transperitoneal laparoscopic nephropexy procedure with nonabsorbable polymer clips by fixing the perirenal tissue to the transversus abdominis fascia and triangular ligament.
  
  
  RESULTS
  Mean operation time was 20 minutes. All patients were discharged after 24 hours. Follow-up intravenous pyelogram (IVP) at 60 and 150 days showed the right kidneys in a more cephalad position, and showed pelvicaliceal dilatations and that the ureteral kinks seemed to be resolved. On days 15, 60, 90, and 150 of the first- and second-year follow-ups, severity of pain was 1 of 10 on the visual analog scale.
  
  
  CONCLUSIONS
  We believe that the technique of transperitoneal laparascopic nephropexy with nonabsorbable polymer clips on patients with symptomatic mobile kidney is safe and easy to perform and shows successful long-term results.
authors.affiliation: Department of Urology, Koru Hospital, Ankara, Turkey.
authors.forename: Cagri
authors.initials: C
authors.lastname: Güneri
authors.affiliation: Department of Urology, Gazi University, Ankara, Turkey.
authors.forename: Lütfi
authors.initials: L
authors.lastname: Tunç
authors.affiliation: Umit mah, Yeni Çağın Sitesi, A Blok No 38, Yenimahalle, Ankara, Turkey. mkirac@gmail.com.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kiraç
authors.affiliation: Department of Urology, Gazi University, Ankara, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Biri
authors.affiliation: Department of Urology, Gazi University, Ankara, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Bozkirli
mesh_terms: D000328:Adult; D004867:Equipment Design; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000601:surgery*; D007674:Kidney Diseases / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010537:Peritoneum; D011108:Polymers; D012189:Retrospective Studies; D013525:Surgical Instruments; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome
chemical_list: D011108:Polymers