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Corresponding Author

El-Shenawy, Ahmed

Document Type

Original Article

Abstract

Background: the retrograde flow of urine from the bladder into the upper urinary tract is known as vesicoureteral reflux (VUR). Aim and objectives; The aim of this work was to compare laparoscopic and open transvesical ureteral reimplantation for the VUR correction in children as regards the average surgery time in minutes (from the beginning of the skin incision to the finish of the wound closing), hospital stay in hours, complications, successful rate, recurrence rate, and follow-up by ultrasound every 1 month, Voiding cystourethrogram (VCUG) every 3 month and DMSA scan after 6 m9onth. Subjects and methods: This is a prospective comparative study between laparoscopic and open transvesical ureteric reimplantation for the correction of VUR in pediatric patients. It was done at Pediatric Surgical Department, Al-Azhar University Hospitals, and others Governmental and Private Hospitals over a period of 2 years. This study was done on (20) children. Result: Urinary extravasation and growth hematuria varied significantly between the groups. Thus, they were significantly more common in Group B than in Group A. Conclusion: In unilateral and bilateral VUR, the minimally invasive laparoscopic method has a comparable rate of success to open surgery. The laparoscopic method decreases the need for pain medication after surgery and allows for a quicker return to normal activities. Keep in mind the neuroanatomy of the bladder, ureters, and VUJ for this approach. The limitation of our study, further comparative studies with larger sample sizes were needed to strength the present results.

Keywords

Laparoscopic; Open Ureteric Reimplantation; VUR; Children, A comparative Study

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