Transposition of Lower Pole Vessels: “The Vascular Hitch”
The traditional surgical technique for pelviureteric junction obstruction (PUJO) is the dismembered pyeloplasty, which may be open, laparoscopic. or robotic assisted. Hellstrom first described the technique of relocation of the lower pole vessels in PUJO. We therefore now perform laparoscopic transposition of lower pole vessels in a very select group of children, in whom the lower pole vessels were deemed to be the sole aetiology in the pathogenesis of PUJO. A prospective audit of this technique is underway, and the medium term results are encouraging.1–4
KeywordsRenal Pelvis Correct Proof Ureteropelvic Junction Obstruction Medium Term Result Laparoscopic Pyeloplasty
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- 1.Churchill BM, Feng WC. Ureteropelvic junction anomalies: congenital UPJ problems in children. In: Gearhart J, Rink R, Mouriquand P (eds), Pediatric Urology. Philadelphia, WB Saunders, 2001:318–346.Google Scholar