>Cirugía y Cirujanos
>Year 2003, Issue 4
Gallego-Grijalva JE, Jaimes-Jiménez R, Alvarado-García R, Terriquez-Rodríguez S
Hydropneumatic dilatation of the ureter. A technical option in ureteropyeloplasty
Cir Cir 2003; 71 (4)
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Introduction: The pyeloureteric junction (UP) is the site of
obstruction commonest in the upper tract urinary. Several surgical
techniques exist and the main complication is the stricture by
the disproportion between both ends. The hydropneumatic dilatation
of the ureteric would increase of the 5:1 to 2:1 the light of the
ureter, improving technically anastomosis and reducing complications.
Material and methods: They studied 27 patients with diagnose of
Estenosis UP in the Paediatric Urologist Service of CMN 20 of
November of the ISSSTE, being made dismembered Pyeloplasty
pyeloureteric in all, introducing Fogarty catheter in the Ureter
carrying out the hydropneumatic dilatation of the same one,
introduction of catheter double J in ureter and in the last patient
without this, previous one to the anastomosis. All had a pursuit of
Results: Of the 27 patients, 21 masculine ones (77.78%), 6 feminine
ones (22.22%), of the right side 10 (37.04%), left 14 (51.85%) and
bilateral 3 (11.11%). In the 27 studied patients postoperating
complications did not appear.
To all the patients I am made the dilatation to them hydropneumatics
of the Ureter during UP plasty, did not present/display
postoperating complications, the anastomosis is carried out
with greater technical facility since the light of the Ureteric
increase from 5:1 in 2:1, and in I complete case withou
t ferulization of the Ureter, I do not present/display complications.
Discussion: The hydropneumatics dilatation of the Ureter is a
technical option in the Surgical handling of stricture UP,
facilitating the anastomosis, diminishing the postoperating
complications, making the ferulization do withoutible of the
||Ureteric dilatation, pyeloureteral stricture..
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>Cirugía y Cirujanos
>Year 2003, Issue 4