Laparoscopic pediatric pyeloplasty using the Flexdex® articulating needle driver: step-by-step video.

Abstract:

:Ureteropelvic junction (UPJ) stenosis is the most common cause of pathological neonatal hydronephrosis. UPJ obstruction may be treated conservatively in some cases, but surgery is indicated if symptoms occur or renal function deteriorates. Pyeloplasty is the procedure of choice for UPJ stenosis. Pyeloplasty can be performed by open laparoscopic or robotic technique. The laparoscopic technique is safe and may be associated with shorter length of hospital stay and reduced complications. Lately, robotic pyeloplasty has been performed with similar results, adding the benefits of easier suturing maneuverability, but with increased costs. Flexdex® is a laparoscopic articulating needle driver that improves maneuverability and ergonomics. In this video, a laparoscopic pyeloplasty with the Flexdex® needle drive is described. The case was treated without any intraoperative complications and with no significant blood loss, and the patient was discharged the day after the procedure. After 90 days of follow-up, there were no complications reported.

journal_name

J Pediatr Urol

authors

Gorgen ARH,Araldi M,de Oliveira Paludo A,da Silva AGT,Ghissi AJ,Fernandes AS,Tavares P,Rosito TE,Cabral RD

doi

10.1016/j.jpurol.2019.03.022

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

421-422

issue

4

eissn

1477-5131

issn

1873-4898

pii

S1477-5131(18)30497-2

journal_volume

15

pub_type

杂志文章
  • Risk factors for postobstructive diuresis in pediatric patients with ureteropelvic junction obstruction, following open pyeloplasty in three high complexity institutions.

    abstract:INTRODUCTION:Postobstructive diuresis (POD) is a polyuric state in which large quantities of salt and water are eliminated after solving a urinary tract obstruction. These patients are at increased risk of severe dehydration, electrolytic disturbances, hypovolemic shock, and death. Ureteropelvic junction obstruction (U...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpurol.2018.01.017

    authors: Pedraza Bermeo AM,Ortiz Zableh AM,Castillo M,Pérez Niño JF

    更新日期:2018-06-01 00:00:00

  • Diagnosis of ectopic ureter as a cause of urinary incontinence.

    abstract:INTRODUCTION AND OBJECTIVE:Female pediatric patients with continuous drip incontinence present a diagnostic challenge. At times, these symptoms may be due to an ectopic ureter inserting below the external sphincter. The evaluation may consist an ultrasound and voiding cystourethrogram (VCUG), but these may not be diagn...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2005.06.009

    authors: Hanson GR,Gatti JM,Gittes GK,Murphy JP

    更新日期:2007-02-01 00:00:00

  • Metanephric adenoma: a rare differential diagnosis of renal tumor in children.

    abstract::Metanephric adenoma is an extremely rare tumor of the kidney. The clinical and anatomic characteristics are not yet well defined, but it is currently considered to be a benign tumor with a good prognosis, although recently two metastatic cases have been reported. Around 50% of cases are incidental findings, and sympto...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2006.10.003

    authors: Bastos Netto JM,Esteves TC,Mattos Rde C,Tibiriçá SH,Costa SM,Vieira LJ

    更新日期:2007-08-01 00:00:00

  • Single incision retro-peritoneoscopic paediatric nephrectomy: early experience.

    abstract::Single incision, single port, or single site surgery for retro-peritoneoscopic nephrectomy and nephro-ureterectomy in paediatric practice using an advanced access platform (GelPOINT Mini) is described in two patients. One patient had bilateral synchronous nephrectomy. The technique, advantages, and challenges are repo...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2013.12.018

    authors: Cherian A,De Win G

    更新日期:2014-06-01 00:00:00

  • Single trocar retroperitoneoscopic nephrectomy for dysplastic poorly functioning kidney with ectopic ureter in children.

    abstract::This is the first report of a single trocar nephrectomy for poorly functioning dysplastic kidney and ectopic ureter, performed in 5 patients from 2010 to 2011. The mean operative time was 63 min and mean postoperative hospital stay was 31 h. There were no perioperative complications. The single trocar nephrectomy is a...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2012.10.007

    authors: Liem NT,Mai Thuy NT,Viet ND,Dung le A

    更新日期:2013-08-01 00:00:00

  • Pubic osteotomy minimal for abdominal wall closure in exstrophy bladder.

    abstract::We describe a novel 'pubic osteotomy minimal' (POM) done on body of pubis just lateral to the insertions of rectus abdominis and adductor longus muscles to bring rectus abdominis in midline without tension for abdominal wall closure without tension. In one patient, during pubic ramotomy, we missed middle of ramus and ...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2020.05.003

    authors: Chatterjee US

    更新日期:2020-06-01 00:00:00

  • Retroperitoneoscopic adrenalectomy: an early institutional experience.

    abstract:OBJECTIVE:To review our initial experience with the retroperitoneoscopic approach, which is rapidly becoming the procedure of choice for paediatric adrenalectomy. Swift access to the vascular pedicle makes this approach ideal for adrenal surgery where haemodynamic instability is a common feature. METHOD:Patients were ...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2006.05.010

    authors: López PJ,Pierro A,Curry JI,Mushtaq I

    更新日期:2007-04-01 00:00:00

  • Psychosocial screening at paediatric BEEC clinics: a pilot evaluation study.

    abstract:INTRODUCTION:Bladder Exstrophy and Epispadias Complex (BEEC) is associated with an increased risk of impaired mental health, quality of life, and psychosocial functioning. Therefore, screening patients to help identify and evaluate potential psychosocial difficulty is arguably an important consideration for BEEC Servic...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2014.10.013

    authors: Hurrell RA,Fullwood C,Keys J,Dickson AP,Fishwick J,Whitnall B,Cervellione RM

    更新日期:2015-04-01 00:00:00

  • Assessment of urinary tract dilation grading amongst pediatric urologists.

    abstract:INTRODUCTION:The Urinary Tract Dilation (UTD) system was created to address variability in hydronephrosis grading. It is unknown if or how pediatric urologists are integrating this newer system into practice. OBJECTIVE:We sought to evaluate the current use of hydronephrosis grading systems, inter-rater reliability (IR...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2020.04.025

    authors: Gray MC,Zillioux JM,Varda B,Herndon CDA,Kurtz MP,Chow JS,Kern NG

    更新日期:2020-08-01 00:00:00

  • Are anogenital distance and external female genitalia development changed in neural tube defects? Study in human fetuses.

    abstract:BACKGROUND:Anogenital distance (AGD), the distance from the anus to the genitals, is a marker of normal genital development. AGD and other biometric parameters of external female genitalia are important as ultrasonographic markers that can determine fetal gender in the first trimester. Neural tube defects are one of th...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2020.07.015

    authors: Vieiralves RR,Ribeiro GS Jr,Alves EF,Sampaio FJ,Favorito LA

    更新日期:2020-10-01 00:00:00

  • Incidence, treatment, and outcomes of primary and recurrent Non-Wilms renal tumors in children: Report of 109 patients treated at a single institution.

    abstract:INTRODUCTION:Non-Wilms renal tumors represent a compelling subset of childhood renal tumors. However, their relative rarity renders accurate diagnosis, and therapy challenging which in some instance is inferred from their adult counterparts. OBJECTIVE:To describe the incidence and analyze the diagnostic challenges, th...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2020.05.168

    authors: Qureshi SS,Bhagat M,Verma K,Yadav S,Prasad M,Vora T,Chinnaswamy G,Amin N,Smriti V,Baheti A,Laskar S,Khanna N,Ramadwar M,Shah S

    更新日期:2020-08-01 00:00:00

  • Etiology and outcome of the perineal repair of posterior and bulbar urethral strictures in children: a single surgeon experience.

    abstract:OBJECTIVE:To evaluate the etiology of posterior and/or bulbar strictures in children in an industrialized country and assess the outcome of its repair by perineal approach. Urethral strictures in children are rare and often challenging to treat. Trauma is the main etiology in developing countries. However, data for ind...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2012.09.007

    authors: Pfalzgraf D,Isbarn H,Meyer-Moldenhauer WH,Fisch M,Riechardt S

    更新日期:2013-12-01 00:00:00

  • Downgrading of high-grade vesicoureteral reflux is a reliable option in the treatment of children with grade IV‒V reflux accompanied by breakthrough infections.

    abstract:PURPOSE:To evaluate incidence of urinary tract infection (UTI) and natural history of downgraded vesicoureteral reflux (VUR) in children with high-grade VUR following endoscopic correction. MATERIALS AND METHODS:We retrospectively studied 54 children (13 males and 41 females) with a mean age of 1.8 years who underwent...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2012.02.006

    authors: Kocherov S,Arafeh WA,Zeldin A,Ostrovsky IA,Ioscovich A,Farkas A,Chertin B

    更新日期:2013-04-01 00:00:00

  • Mannitol has a protective effect on testicular torsion: An experimental rat model.

    abstract:OBJECTIVE:Testicular torsion is an emergency condition that causes testicular injury. Any treatment opportunity reducing the destructive effect of testicular torsion is important for the future life of patients. In this experimental study we investigated the protective effect of mannitol on ischemia-reperfusion (I/R) i...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2016.01.004

    authors: Kurt O,Yazici CM,Erboga M,Turan C,Bozdemir Y,Akbas A,Turker P,Aktas C,Aydin M,Yesildag E

    更新日期:2016-06-01 00:00:00

  • Grade of hypospadias is the only factor predicting for re-intervention after primary hypospadias repair: a multivariate analysis from a cohort of 474 patients.

    abstract:BACKGROUND:There is an ongoing quest on how to minimize complications in hypospadias surgery. There is however a lack of high-quality data on the following parameters that might influence the outcome of primary hypospadias repair: age at initial surgery, the type of suture material, the initial technique, and the type ...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2014.11.014

    authors: Spinoit AF,Poelaert F,Van Praet C,Groen LA,Van Laecke E,Hoebeke P

    更新日期:2015-04-01 00:00:00

  • Ureteroscopy and laser stone fragmentation (URSL) for large (≥1 cm) paediatric stones: Outcomes from a university teaching hospital.

    abstract:INTRODUCTION:The treatment of large renal stones (≥1 cm) in paediatric patients is challenging. The usual treatment options include percutaneous nephrolithotomy (PCNL) or shockwave lithotripsy (SWL). There is a rise in the use of ureteroscopy and laser stone fragmentation (URSL) for paediatric stones; however, outcomes...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2016.07.006

    authors: Featherstone NC,Somani BK,Griffin SJ

    更新日期:2017-04-01 00:00:00

  • The Publication Ranking Score for pediatric urology: quantifying thought leadership within the subspecialty.

    abstract:OBJECTIVES:Clinical care parameters are frequently assessed by national ranking systems. However, these rankings do little to comment on institutions' academic contributions. The Publication Ranking Score (PRS) was developed to allow for objective comparisons of scientific thought-leadership at various pediatric urolog...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2013.03.012

    authors: Lloyd JC,Madden-Fuentes RJ,Nelson CP,Kokorowski PJ,Wiener JS,Ross SS,Kutikov A,Routh JC

    更新日期:2013-12-01 00:00:00

  • Single-donor fibrin sealant for repair of urethrocutaneous fistulae following multiple hypospadias and epispadias repairs.

    abstract:PURPOSE:To evaluate the efficacy of fibrin sealant for repair of urethrocutaneous fistula after multiple failed hypospadias and epispadias surgeries. MATERIALS AND METHODS:The study population comprised 11 boys (mean age 12.18 years) with history of hypospadias or epispadias and at least two failed fistula repair oper...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2010.06.004

    authors: Kajbafzadeh AM,Abolghasemi H,Eshghi P,Alizadeh F,Elmi A,Shafaattalab S,Dianat S,Amirizadeh N,Mohseni MJ

    更新日期:2011-08-01 00:00:00

  • Multicystic dysplastic kidney: Impact of imaging modality selection on the initial management and prognosis.

    abstract:OBJECTIVE:To evaluate the impact of imaging modalities on the evaluation and prognosis of children with multicystic dysplastic kidney (MCDK) disease. PATIENTS AND METHODS:A retrospective analysis of all children with MCDK diagnosed from 2004 until 2012 was performed. The study included 63 patients for whom all postnat...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2014.03.004

    authors: Sarhan OM,Alghanbar M,Alsulaihim A,Alharbi B,Alotay A,Nakshabandi Z

    更新日期:2014-08-01 00:00:00

  • Infant robot-assisted laparoscopic upper urinary tract reconstructive surgery.

    abstract:OBJECTIVE:Our aim was to assess the outcomes of infant robot-assisted laparoscopic (RAL) upper urinary tract reconstruction. MATERIALS AND METHODS:The medical records of all infants who underwent RAL upper urinary tract reconstruction were reviewed. Patients less than 1 year of age at surgery were included. Patient de...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2014.01.029

    authors: Bansal D,Cost NG,Bean CM,Vanderbrink BA,Schulte M,Noh PH

    更新日期:2014-10-01 00:00:00

  • Is peri-operative urethral catheter drainage enough? The case for stentless pediatric robotic pyeloplasty.

    abstract:BACKGROUND:The necessity for urinary diversion with trans-anastomotic ureteral stenting during pyeloplasty is currently under debate. Performing a stentless repair could eliminate stent-related morbidity, including: stent migration, urinary tract infection, flank pain, and bladder spasms. In addition, there would be no...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2015.06.003

    authors: Silva MV,Levy AC,Finkelstein JB,Van Batavia JP,Casale P

    更新日期:2015-08-01 00:00:00

  • Neonatal circumcision reduces the incidence of asymptomatic urinary tract infection: a large prospective study with long-term follow up using Plastibell.

    abstract:OBJECTIVE:To evaluate the preventive effect of neonatal circumcision on urinary tract infection and the incidence of complications following neonatal circumcision using Plastibell. MATERIALS AND METHODS:A prospective study was carried out between 2004 and 2008. During this period, there were 3000 neonatal circumcision...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2010.10.008

    authors: Simforoosh N,Tabibi A,Khalili SA,Soltani MH,Afjehi A,Aalami F,Bodoohi H

    更新日期:2012-06-01 00:00:00

  • Consulting "Dr. YouTube": an objective evaluation of hypospadias videos on a popular video-sharing website.

    abstract:INTRODUCTION:Parents who make decisions about hypospadias repair for their child may seek information from online platforms such as YouTube. OBJECTIVE:The purpose of this study is to evaluate the health literacy demand of hypospadias videos on YouTube using the Patient Education Materials Assessment Tool for Audiovisu...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2019.11.011

    authors: Salama A,Panoch J,Bandali E,Carroll A,Wiehe S,Downs S,Cain MP,Frankel R,Chan KH

    更新日期:2020-02-01 00:00:00

  • Pediatric urolithiasis in a non-endemic country: a single center experience from The Netherlands.

    abstract:OBJECTIVE:To provide insight in causative factors of pediatric urolithiasis in The Netherlands, a non-endemic country. PATIENTS AND METHODS:Data from 71 children with urolithiasis and stone analyses between 1996 and 2010 in the Radboud University Nijmegen Medical Centre were studied retrospectively. Patients (48 boys,...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2013.07.019

    authors: Rellum DM,Feitz WF,van Herwaarden AE,Schreuder MF

    更新日期:2014-02-01 00:00:00

  • Predictors of upper tract damage in pediatric neurogenic bladder.

    abstract:INTRODUCTION:Upper tract damage (UTD) is a life-threatening complication of neurogenic bladder (NB). Early identification of risk factors for UTD and institution of remedial measures may probably prevent UTD. The aim was to study the predictors of UTD in children 2 years or older with NB. METHOD:This cross-sectional, ...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2017.02.026

    authors: Prakash R,Puri A,Anand R,Jain AK,Lal B,Garg V

    更新日期:2017-10-01 00:00:00

  • Assessment of recoverability of kidney function in children with obstructive calcular anuria: multicenter study.

    abstract:OBJECTIVE:Urolithiasis in children can cause considerable morbidity. Our aim was to evaluate the impact of intervention on the recoverability of kidney functions. MATERIALS AND METHODS:This prospective study included 93 children (66 boys and 27 girls) with median age of 3 years (range 0-14). Inclusion criteria were pr...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jpurol.2011.02.011

    authors: Ziada AM,Sarhan OM,Habib EI,ElTabie N,El Sheemy M,Morsi HA,ElGhonemy MN,Helmy T,Dawaba M,Ghali A,Eissa MA

    更新日期:2011-06-01 00:00:00

  • Key anatomic findings on fetal ultrasound and MRI in the prenatal diagnosis of bladder and cloacal exstrophy.

    abstract:INTRODUCTION:Prenatal determination of bladder exstrophy (BE) or cloacal exstrophy (CE), known also as the omphalocele-exstrophy-imperforate anus-spinal anomaly complex (OEIS), is challenging. Distinguishing between BE and CE is important because children with CE have many more challenges initially and during their lif...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2020.07.024

    authors: Weiss DA,Oliver ER,Borer JG,Kryger JV,Roth EB,Groth TW,Shukla AR,Mitchell ME,Canning DA,Victoria T

    更新日期:2020-10-01 00:00:00

  • A combined preperitoneal and inguinal approach for redo orchiopexy.

    abstract:INTRODUCTION:Redo orchiopexy involves a hazardous dissection inside the inguinal canal (IC) where scar tissue encircles the testicular vessels (TesV), vas deferens (VD), and the testis. OBJECTIVE:The aim was to describe and evaluate a combined preperitoneal and inguinal approach (CPI) through a single cutaneous incisi...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2015.05.035

    authors: Sfoungaris D,Mouravas V

    更新日期:2016-02-01 00:00:00

  • Post-traumatic urethral strictures in children: what have we learned over the years?

    abstract:BACKGROUND:Urethral stricture presents an uncommon but difficult urological problem in the pediatric population. Treatment protocols are different from in adults due to anatomical considerations. MATERIAL AND METHODS:A thorough manual and Medline search was conducted to review the existing literature on post-traumatic...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jpurol.2011.06.004

    authors: Ranjan P,Ansari MS,Singh M,Chipde SS,Singh R,Kapoor R

    更新日期:2012-06-01 00:00:00

  • Hypospadias and anorectal malformations mediated by Eph/ephrin signaling.

    abstract::PURPOSE: Despite extensive research, the molecular basis of hypospadias and anorectal malformations is poorly understood, likely due to a multifactorial basis. The incidence of hypospadias is increasing, thus making research in this area warranted and timely. This review presents recent molecular work broadening our u...

    journal_title:Journal of pediatric urology

    pub_type: 杂志文章

    doi:10.1016/j.jpurol.2007.01.199

    authors: Yucel S,Dravis C,Garcia N,Henkemeyer M,Baker LA

    更新日期:2007-10-01 00:00:00