Laparoscopic Redo PyeloplastyAfter Failed OpenSurgery

Laparoscopic Redo PyeloplastyAfter Failed OpenSurgery

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PURPOSE: To report our experience in treating patients with failed previous open pyeloplasty by transperitoneal laparoscopic pyeloplasty.MATERIALS AND METHODS: Eleven patients with previous failed open pyeloplasty were reviewed, all of whom had undergone transperitoneallaparascopicpyeloplasty.All procedures were performed by a single team.Depending on the cerini coffee and gifts products anatomic situation, either dismembered or a flap technique was utilized.Subsequent follow-up was by ultrasonography initially, and diuretic renal scintigraphy and/or intravenous urography at least 12 months after the re-operation.

Data were collected from the medical records.RESULTS: The study group consisted of 7 men and 4 women with the mean age of 41.4 years (range, 27 to 55 years).Mean operation time was 208 minutes(range, 165 to 250 minutes) and mean hospital stay was 3.6 days (range, 3 to 5 days).

Mean follow-up was 24.1 months (range, 12 to 42 months).The overall success rate for these salvage laparoscopic pyeloplasties was 90.9%.Only onefemale patient tech lighting tellium developed dull flank pain 3 months after stent removal.

There was no conversion to open surgery.None experienced major complications or required blood transfusion.CONCLUSION: Laparoscopic pyeloplasty can be a valid and feasible option in treating patients with failed prior open pyeloplasty.