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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There was not any postoperative urinary retention. We comment on the technical variations in the laparoscopic version.

Su incidencia se calcula entre 0. Pediatric Surgery, Spitz, L.

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


The Lich-Gregoir extravesical ureteral reimplantation technique is completely described, reinforcing those technical details ahastomosis the achievement of better results. After a mean follow-up of two years 2 months Cirurgia pediatrica, Maksoud, J.

Gastroenteroanastomosis by Namdher Colmenares on Prezi

Actualmente no realizamos nueva UCG de rutina. We describe the technique step-by-step, emphasizing the modifications introduced, also in its laparoscopic version. Our reoperation rate is 1.

Hubo otros 10 pacientes que presentaron RVU contralaterales. Surgical technique for extravesical vesicoureteral neoimplantation.

Surgical treatment should reconstruct that relationship. Pediatric Clinics of North America, Nuestra tasa de reoperaciones es de 1. Esto expone la vejiga, Figura 4. After more than 30 years of experience, in our hands the Lich-Gregoir extra vesicoureteral reimplantation technique shows excellent results. Pediatric Surgery, O’Neill, J.

Del grupo estudiado pacientes presentaban RVU bilateral. Pediatric Urology Practice, Gonzalez, E. Pediatric surgery, Aschcraft, K.: Several surgical techniques have been described to achieve this objective. All ureters were reimplanted without modelling in a mean surgical time of techica minutes for the open technique. Embriology for surgeons, Skandalakis, J.


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Del grupo estudiado, pacientes presentaban RVU bilateral. De los 8 pacientes que presentaron complicaciones solamente 6 1. 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 quirudgica to resolve primary unilateral and bilateral primary VUR.

Secondary de VUR was excluded. Over the 33 years of the study period there were patients with primary VUR who required surgery. Our success rate for VUR resolution with this technique is