Round-Traction-Assisted Pyeloplasty (Ro.T.A.P.): A Minimal Approach Using Alexis<sup>®</sup> Autostatic Retractor

Abstract

Anderson-Hynes dismembered ureteropyeloplasty has been the gold standard surgical treatment for ureteropelvic junction obstruction (UPJO) caused either by crossing renal vessel or by a stenotic junction in children. Nowadays it is still discussed which could be the best surgical approach. All the techniques actually used have the goal to improve functional outcome and to reach better results in terms of reducing traumatic damage, postoperative pain and therefore reduction of hospitalization. We are presenting our experience in the treatment of UPJO by open dismembered pyeloplasty with a minimal invasive approach using the Alexis ® (Applied Medical, Rancho Santa Margherita, CA) autostatic wound retractor.

Gloveport-assisted retroperitoneal pyeloplasty (GARP): a case report

“…Video-assisted single-port techniques, which combine the advantages of the laparoscopic and open approaches, have proven their use in this pathology, with the one-trochar-assisted pyeloplasty (OTAP) technique being safe, fast, and effective even in infants [2][3]. Recently, another working group developed a variation of this technique known as Round-Traction-Assisted Pyeloplasty (RoTAP) [4], characterized by using an Alexis retractor ®. Lastly, Zouari et al reported using the gloveport system in this context but through a transperitoneal approach [5].…”