Ureteral replacement with appendix in pediatric renal transplantation

Corbetta, Juan Pablo; Weller, Santiago; Bortagaray, Juan I.; Durán, Víctor; Burek, Carol; Sager, Cristian; López, Juan Carlos

doi:10.1111/j.1399-3046.2011.01608.x

Cited by 16 publications

(7 citation statements)

References 15 publications

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“…Postoperative complications such as thrombosis, severe urinary tract infection and ureteral necrosis may occur and improper use often requires nephrectomy. 22 In conclusion, intermittent hydronephrosis associated with abdominal pain occurred in older children, and IVP or magnetic resonance imaging indicated a filling defect in the ureter, highly suggestive of polyp induced hydronephrosis. How to understand the length of polypoid ureteral lesions before surgery still needs to find a better examination method to facilitate the formulation of preoperative surgical plan.…”

Section: Discussionmentioning

confidence: 75%

Laparoscopic approach for intermittent hydronephrosis caused by primary ureteral fibroepithelial polyps in children

Chu

Cao

Deng

2021

World Jnl Ped Surgery

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ObjectiveTo summarize the diagnosis and treatment experience of children with intermittent hydronephrosis caused by ureteral fibroepithelial polyp (UFP).MethodsFrom 2017 to 2020, cases of hydronephrosis caused by ureteral polyp in Anhui Provincial Children’s Hospital were retrospectively enrolled for investigation. Demographic data, clinical manifestations, operation details, pathology and outcomes were collected from patients’ medical data for analysis.ResultsAll seven cases of UFP were boys, including six cases on the left side of the ureter and one case on the right side, at the median age of 7.1 years (3–14 years), with abdominal intermittent pain as the first symptom. All cases underwent laparoscopic pyeloureteroplasty. All the operations were completed successfully; postoperative pathology indicated the presence of primary UFP. Postoperative follow-ups of 1–30 months showed satisfactory recovery and relief from hydronephrosis.ConclusionsLaparoscopic pyeloureteroplasty or ureteroureterostomy is one of the optimal treatments for ureteral polyp at present. The surgical method should be determined according to the number of polyps, the length and the diameter of the affected ureter, and also the status of renal function of the patients.

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Section: Discussionmentioning

confidence: 75%

Laparoscopic approach for intermittent hydronephrosis caused by primary ureteral fibroepithelial polyps in children

Chu

Cao

Deng

2021

World Jnl Ped Surgery

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“…There are a limited number of studies in the literature that performed appendiceal interposition to left ureteral defects [5] , [6] , [9] , [10] , [11] . In the literature review, it was observed that appendix interposition was applied to the left ureter in 15 of 64 patients [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] . Complications have been reported to be higher in appendiceal interposition surgeries using isoperistaltic [13] .…”

Section: Discussionmentioning

confidence: 99%

“…Double J catheters are used in the treatment of conditions such as ureteral reconstructive surgery, obstructive uropathy, extracorporeal real shock wave lithotripsy, and obstructive anuria [14] . Ureteral stents are also used during intestinal interpositions applied to ureteral defects [5] , [6] , [7] , [8] , [11] , [12] . Forgetting and not removing these catheters cause high complications [14] .…”

Section: Discussionmentioning

confidence: 99%

Stentless repair of left urethral defect with appendiceal interposition: A case report

Avci

Atıcı

Uylaş

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance Various methods have been described in the repair of ureteral defects. Here, it is aimed to present the repair performed with appendiceal interposition without any double J stent for the left ureteral defect in a patient who was operated on urgently due to obstruction with metastatic and locally advanced colon tumor. Case presentation An 82-year-old male patient was taken to an emergency operation with the diagnosis of ileus. A tumor involving the left ureter was detected in the sigmoid colon, and a 6 cm defect occurred in the left ureter after resection. This defect was repaired with appendiceal interposition without double J stent placement. Hydroureteronephrosis and stricture were not observed in the patient's 2nd and 8th-month follow-up imaging. Conclusion The appendix interposition for left ureter reconstruction is a safe and feasible option. Also, this procedure can be done without any ureteral stent.

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“…previous option as is evident from this study. 3,5 Appendix although appears a gold standard and ideal for right sided replacements owing to its adequate narrow lumen for substitution in children and its good mesentry and pedicled blood supply there are limitations to it. 6 Sometimes inadequate length of appendix and its pedicle or its twisting or drag on trying to use it on left side can limit its usage.…”

Section: Discussionmentioning

confidence: 99%

Revisiting ureteral substitution and its outcome in children: single centre 13 year experience

Vageriya¹,

Mane²,

Daginawala³

et al. 2020

Int J Contemp Pediatr

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Background: Objective of this study is to explore various ureteric substitutes in pediatric age group and their outcomes.Methods: Retrospective analysis was done from 2003-2016, of all patients operated in this hospital that had undergone ureteral replacement. Thirteen such patients (5 from initially published paper (1) and 8 new patients) were followed up to find conduit patency, renal function and related complications with their outcomes assessed.Results: Ureteric substitution was done in 8 patients. Age of the patient ranged from 4 months to 8 years. Out of these for 2 patients monti tube was created; one with colon and other jejunum, rest of the 6 patient appendix was used. On follow up one patient had early appendico-ureteral leak requiring re-anastomosis and one patient had partial obstruction at 6 months corrected by dividing mesentry and untwisting appendix. With a mean follow up of 3.8 years all patients have preserved renal functions and drainage present. Also 5 patients of ureteral substitution performed at this institution and published prior were followed up with mean follow up of 10.4 years having no complaints with preserved function and unobstructed drainage.Conclusions: This small series supports that not only appendix and ileum but even colon as well as jejunum should be considered as Monti’s tube for ureteric replacement, when confronting with short ureter in paediatric age group.

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Ureteral replacement with appendix in pediatric renal transplantation

Cited by 16 publications

References 15 publications

Laparoscopic approach for intermittent hydronephrosis caused by primary ureteral fibroepithelial polyps in children

Laparoscopic approach for intermittent hydronephrosis caused by primary ureteral fibroepithelial polyps in children

Stentless repair of left urethral defect with appendiceal interposition: A case report

Revisiting ureteral substitution and its outcome in children: single centre 13 year experience

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