Por lo que el tratamiento quirúrgico debería reconstruir esta relación. Se han descrito varias técnicas quirúrgicas para lograr este objetivo. Cara posterior de anastomosis. Rodney Smith. Ducto. Incisión subcostal ampliada. Separador. Magnificación. GASTROENTERO ANASTOMOSIS SITUACIÓN Celda Subfrénica Izquierda VASCULARIZACIÓN MEDIOS DE FIJACIÓN CONFIGURACIÓN.

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All ureters were reimplanted without modelling in a mean surgical time of 62 minutes for the open technique.

Based on the results the the authors think that extravesical ureteral reimplantation following the Lich-Gregoir technique is safe, simple, technically reproducible, efficient, and with a low morbidity to resolve primary quirrugica and bilateral primary VUR.

Pediatric Surgery, O’Neill, J. Nuestra tasa de reoperaciones es de 1.

After a mean follow-up of two years 2 months Pediatric Urology Practice, Gonzalez, E. Our reoperation rate is 1.


Esto expone la vejiga, Figura 4. Pediatric surgery, Aschcraft, K.: Del grupo estudiado pacientes presentaban RVU bilateral.

Gastroenteroanastomosis by Namdher Colmenares on Prezi

Surgical technique for extravesical vesicoureteral neoimplantation. Pediatric Surgery, Spitz, L.

Our success rate for VUR resolution with this technique is De los 8 pacientes que presentaron complicaciones solamente 6 1. Several surgical techniques have been described to achieve this objective. The Lich-Gregoir extravesical ureteral reimplantation technique is completely described, reinforcing those technical details allowing the achievement of better results. Actualmente no realizamos nueva UCG de rutina. Over the 33 years of the study period there were patients with primary VUR who required surgery.

The uneven relationship between length and diameter of the intramural ureter is essential for the development of vesicoureteral reflux VUR.

Secondary de VUR was excluded. We comment on the technical variations in the laparoscopic version. Cirurgia pediatrica, Maksoud, J. Surgical treatment should reconstruct that relationship.

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There was not any postoperative urinary retention. Embriology for surgeons, Skandalakis, J. After more than 30 years of experience, in our hands the Lich-Gregoir extra vesicoureteral reimplantation technique shows excellent results. We registered age, gender, radiological grade, bilateralism, surgical time, and development of complications such as persistent reflux, contralateral reflux, postoperative urinary tract infection, urinary retention, postoperative obstruction, reoperation, the degree of renal insufficiency, and long-term follow-up.


Hubo otros 10 pacientes que presentaron RVU contralaterales. Del grupo estudiado, pacientes presentaban RVU bilateral. Pediatric Clinics of North America, Su incidencia se calcula entre 0. We describe the technique step-by-step, emphasizing the modifications introduced, also in its laparoscopic version.