Laparoscopic pyeloplasty achieves a success rate equal to that of open pyeloplasty while providing a recovery similar to that obtained with Acucise endopyelotomy and is gaining popularity as the treatment of choice for UPJ obstruction.

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Transportable SIM was used to evaluate the clinical functions of a new ED. Significant operational issues identified by participants were corrected before opening of the facility. Limited comparison did not reveal SIM enhancement of orientation.

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Transportable SIM was used to evaluate the clinical functions of a new ED. Significant operational issues identified by participants were corrected before opening of the facility. Limited comparison did not reveal SIM enhancement of orientation.

Both LRN and HALRN can be performed safely in patients with significant comorbid conditions. Careful preoperative preparation, intraoperative monitoring, and awareness of laparoscopy-induced oliguria can preclude inadvertent overhydration, hemodilution, and congestive heart failure. Both LRN and HALRN result in less pain medication requirement and faster return to oral intake than ORN, and LRN results in fewer perioperative complications than HALRN or ORN in patients at high perioperative risk. The LRN technique has a 21% lower total cost than both HALRN and ORN.

Introduction: Treatment of capillary hemangiomas is initiated when there is amblyogenic anisometropic astigmatism, when there is pupillary occlusion, or when rapid growth of the hemangioma threatens to occlude the pupil. The goal of this study was to determine whether treatment of hemangiomas results in resolution or prevention of occlusion or decrease of astigmatism. Methods: The records of 55 patients who underwent treatment for reduction in size of a capillary hemangioma in two pediatric ophthalmology practices were reviewed. Indication for treatment, age at first visit, cycloplegic refraction at the initial and final visits, type of treatment, need for patching or spectacles, and final visual acuity were recorded. Results: This is the largest case series of children with capillary hemangiomas with recorded pretreatment and posttreatment cycloplegic refraction who were followed through the duration of treatment. Twelve patients were treated for pupillary occlusion. Occlusion resolved in all cases. Of the six patients with a final measurable visual acuity (FMVA), two had a vision of 20/100 or worse. Thirty patients were treated for anisometropic astigmatism. The average amount of pretreatment astigmatism was 2.68 D, while the average amount of posttreatment astigmatism was 0.53 D. All 15 patients with an FMVA had a vision of 20/40 or better. The 13 patients treated for threatened occlusion of the visual axis did not develop occlusion. The six patients with a FMVA all had vision of 20/30 or better. Conclusion: Treatment to reduce the size of capillary hemangiomas results in resolution of occlusion, reduction in astigmatism, and prevention of pupillary occlusion. Those with occlusion are at higher risk for severe residual amblyopia and require more aggressive treatment.