Lower pole crossing vessel
WebJan 1, 2013 · The lower pole of the kidney must be very carefully dissected in order to identify a crossing vessel. Failure to identify a vessel during this step can lead to a failed UPJ reconstruction. Once the dissection is completed, two holding stitches are placed: distal to the UPJ obstruction on the proximal ureter and in the renal pelvis proximal to ... WebSep 22, 2016 · Laparoscopic Laparoscopic transposition of lower pole crossing vessels (vascular hitch) in children with pelviureteric junction obstruction DOI: 10.21037/tp.2016.09.08 Authors: Esposito...
Lower pole crossing vessel
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WebThe lower pole CV before surgery were suspected in 18 (38.3%) of the patients on the ultrasound examination and in 30 (63.8%) in computed uro-tomography. In all cases, an … WebDec 28, 2024 · The crossing renal vessels are usually located at the ventral side of the UPJ and enter the kidney without passing through the renal hilum. Additionally, some of the crossing blood vessels directly enter the lower pole of the kidney ( 5 ).
WebOct 21, 2015 · Laparoscopic Transposition of Lower Pole Crossing Vessels (Vascular Hitch) in Children with Pelviureteric Junction Obstruction: How to Be Sure of the Success of the … WebOct 8, 2014 · Landmarks: Retropertionem, ureters, kidney, lower pole crossing vessel. Procedure: The laparoscopic transposition of lower pole crossing vessels, or “vascular hitch”, has been successfully used to relieve purely extrinsic ureteropelvic junction obstruction in both adults and children. This case describes the surgical steps for …
WebMar 1, 2024 · For the treatment of ureterovascular pelviureteric junction obstruction (PUJO), transposition of lower pole crossing vessels (LPCV) has been described as an alternative … Lower pole crossing vessels could be suspected on pre-operative imaging by doppler US and MR, guiding the surgeon towards the more appropriate technique. Wong reported the superiority of Doppler US compared to MR ; however, US studies depends on performers’ learning curve. See more To assess the efficacy of the vascular hitch procedure in extrinsic ureteropelvic junction obstruction (UPJO) by crossing vessels in children, … See more Retrospective analysis on patients treated by open or mini-invasive vascular hitch during the period 2006–2024. Preoperative imaging included renal ultrasound (US) and … See more Vascular hitch shows to be a safe, feasible and effective alternative to pyeloplasty. Careful pre and intra-operative patients’ selection is essential to exclude any intrinsic cause of … See more Forty-eight patients were included with mean age at surgery of 7.6 years and 25% had an antenatal diagnosis. Aberrant vessels were suspected preoperatively in 72.9%; mean … See more
WebSep 1, 2003 · The crossing vessels were completely mobilized, displaced cephalad, and fixed using intracorporeal sutures. The mean operative time and blood loss was 164 minutes and 15 mL, respectively. At a mean follow-up of 19 months (range 14 to 31), the patients were asymptomatic with no evidence of obstruction on Lasix nuclear renography.
WebJan 27, 2015 · Lower pole crossing vessels were observed intraoperatively in 33/85 (38.8%) cases. In 8 patients, nonobstructive stones were found in the collecting system on US and IVU. In 7 cases they were grasped and removed from the renal pelvis during the procedure. As at the time of the operation a flexible nephroscope was not available, in 1 patient ... how effective was the catholic reformationWebNov 15, 2024 · This vessel was large (about 3 mm in diameter) and fed a part of the inferior kidney pole. Furthermore, all four renal arteries arose from a very short (about 5 mm in length) common trunk. As the ovarian vein of the donor remained and matched the diameter of the severed accessory artery, it was decided to use it as an insertion between the main ... hidden objects christmas free gamesWebBackground: To report a series of children with pelviureteric junction obstruction (PUJO) due to lower polar crossing vessels who underwent laparoscopic vascular transposition. In … hidden objects brain teasersWebWhen blood vessels crossing lower pole represent the pure mechanical cause of UPJ obstruction the laparoscopic Vascular Hitch procedure represents an excellent alternative to dismembered pyeloplasty. It is less technically demanding then pyeloplasty and is associated with a lower complication rate. The main challenge is to intraoperatively ... how effective was the hetzerWebMay 29, 2015 · So, the default options are: go south for comfort and safety; go north for speed. Most boats take a more middle route, depending on the forecast. Chris Tibbs is a … how effective was the pairingWebJul 26, 2024 · One of the most common causes of extrinsic PUJO is the lower pole crossing vessel (LPCV). Furthermore, the presence of ureteral kinking or the occurrence of … how effective was the sherman antitrust actWebNormal crossing-the vehicle's classification number is equal to or less than the bridge's, vehicles maintain 30-meter intervals on fixed or floating bridges, and the vehicle's speed … hidden objects can you find