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Transposition of Lower Pole Vessels: “The Vascular Hitch”

  • Prasad P. Godbole
  • Patrick G. Duffy

Abstract

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

Keywords

Renal Pelvis Correct Proof Ureteropelvic Junction Obstruction Medium Term Result Laparoscopic Pyeloplasty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 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
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    Meng MV, Stoller ML. Hellstrom technique revisited: laparoscopic management of ureteropelvic junction obstruction. Urology 2003;62(3):404–408.PubMedCrossRefGoogle Scholar
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    Cain MP, Rink RC, Thomas AC, Austin PF, Kaefer M, Casale AJ. Symptomatic ureteropelvic junction obstruction in children in the era of prenatal sonography — is there a higher incidence of crossing vessels? Urology 2001;57(2): 338–341.PubMedCrossRefGoogle Scholar
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Copyright information

© Springer-Verlag London Limited 2007

Authors and Affiliations

  • Prasad P. Godbole
    • 1
  • Patrick G. Duffy
    • 2
  1. 1.Department of Paediatric Surgery and UrologySheffield Children’s NHS TrustSheffieldUK
  2. 2.Department of Paediatric UrologyGreat Ormond Street Hospital for Children NHS TrustLondonUK

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