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Tytuł oryginału: Comparison of extravesical and intravesical methods of surgical treatment of primary vesicoureteral reflux in children.
Autorzy: Kudela Grzegorz, Koszutski Tomasz, Bohosiewicz Janusz, Skrabski Robert
Źródło: Surg. Childh. Int. 2002: 10 (1) s.10-13, il., tab., bibliogr. 17 poz.
Sygnatura GBL: 313,040

Hasła klasyfikacyjne GBL:
  • pediatria
  • urologia
  • chirurgia

    Typ dokumentu:
  • praca kliniczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • niemowlęta
  • dzieci 2-5 r.ż.
  • dzieci 6-12 r.ż.
  • dzieci 13-18 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: The aim of this study is the assessment of the results of surgical treatment of vesicoureteral reflux using the extravesical Politano-Leadbetter and Cohen methods and intravesical modified Lich-Gregoir method and analysis of postoperative complications and necessary hospitalizations. From January 1995 through February 2000, 111 children with primary reflux were operated on. The Lich-Gregoir procedure was performed on 36 children (50 ureters), the Poloitano-Leadbetter procedure, in 35 children (41 ureters) and the Cohen procedure in 40 children (80 ureters). The extravesical operation was done slightly faster than the intravaesical methods (p 0.05). Perioperative complications were found in 18.8 p.c. children operated by intravesical methods and in 2.8 p.c. children after an extravesical operation (p 0.05). The hospitalization time after unilateral detrusorrhaphy was 6.4 ń 1.3 days and 10.7 ń 2.5 days after the unilateral Politano-Leadbetter procedure (p 0.05). The hospitalization duration after bilateral detrusorrhaphy was 5.6 ń 1.6 days adn 11 ń 2.6 days after the bilateral Cohen procedure (p 0.05). Reflux grade III and IV completely resolved in 100 p.c. of cases treated by intravaesical procedures and in 95 p.c. after extravesical procedures (p 0.05). The results of antireflux procedures are good in all groups; none of the surgical methods was found to be significantly more effective than the others. The number of complications and necessary hospitalizations after the Lich-Gregoir procedure was lower.

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