Successful outcomes in laparoscopic pyeloplasty using knotless self-anchoring barbed suture in children

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dc.contributor.authorYilmaz O.
dc.contributor.authorTanriverdi H.I.
dc.contributor.authorCayirli H.
dc.contributor.authorErtan P.
dc.contributor.authorSencan A.
dc.contributor.authorGenc A.
dc.contributor.authorTaneli C.
dc.date.accessioned2024-07-22T08:08:14Z
dc.date.available2024-07-22T08:08:14Z
dc.date.issued2019
dc.description.abstractIntroduction: Laparoscopic pyeloplasty for ureteropelvic junction obstruction in children has gained increasing importance over the last decade. Intracorporeal knot tying still remains a technical challenge for the surgeon. Self-anchoring suture incorporates a new concept for tissue approximation and reduces intracorporeal knot tying problems. There are very few reports on self-anchoring knotless suture and its application for laparoscopic pyeloplasty in children. We present our results of a series of consecutive children undergoing laparoscopic pyeloplasty with knotless barbed sutures. Material and method: We prospectively evaluate 15 consecutive patients who underwent laparoscopic pyeloplasty with knotless barbed sutures (V-LocTM, Covidien) for ureteropelvic anastomosis. The decision of the operation was given by pediatric nephrology-urology-radiologic imaging diagnostic team, and all patients were operated by a single surgeon. Pyeloplasty was performed without pelvic reduction, and the anastomosis was made by barbed sutures using running fashion. Results: The mean age of the patients were 5.39 (3 months-17 years). Two cases had undergone a right-sided pyeloplasty, and thirteen had undergone a left-sided pyeloplasty. The duration of the operative procedure was 60–110 min. Neither intraoperative nor postoperative complication was encountered in any of the cases. Patients were followed by ultrasonographic evaluation. The anteroposterior diameter (AP) diameter of renal pelvis and hydronephrosis grade Society for Fetal Urology (SFU) are significantly different when compared with pre-operative and postoperative period (p = 0.001 and p = 0.001, respectively). Owing to the renal parenchymal thickness change by age pre-operative and postoperative thickness comparison is adjusted by age, because age is considered as a covariate (confounder variable). We observed statistically significant (p = 0.003) difference in parenchymal thickness in all cases. Follow-up periods of the 15 consecutive pediatric pyeloplasty cases were 6–54 months. Conclusion: In the present study, successful outcome of the laparoscopic pyeloplasty using barbed suture was shown for the first time in children in literature. We believe that successful outcome of laparoscopic pyeloplasty could be achieved by eliminating knots and less manipulation on the wound edge also minimizes tissue injury during the procedure.[Formula presented] [Table presented] © 2019 Journal of Pediatric Urology Company
dc.identifier.DOI-ID10.1016/j.jpurol.2019.07.023
dc.identifier.issn14775131
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/14305
dc.language.isoEnglish
dc.publisherElsevier Ltd
dc.subjectAdolescent
dc.subjectAnastomosis, Surgical
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectInfant
dc.subjectKidney Pelvis
dc.subjectLaparoscopy
dc.subjectMale
dc.subjectOperative Time
dc.subjectPostoperative Period
dc.subjectProspective Studies
dc.subjectReconstructive Surgical Procedures
dc.subjectSuture Anchors
dc.subjectSuture Techniques
dc.subjectTreatment Outcome
dc.subjectUreteral Obstruction
dc.subjectUrodynamics
dc.subjectUrologic Surgical Procedures
dc.subjectadolescent
dc.subjectage
dc.subjectArticle
dc.subjectchild
dc.subjectclinical article
dc.subjectcomparative study
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjecthydronephrosis
dc.subjectinfant
dc.subjectkidney pelvis
dc.subjectlaparoscopic surgery
dc.subjectmale
dc.subjectoutcome assessment
dc.subjectpriority journal
dc.subjectpyeloplasty
dc.subjectthickness
dc.subjectureteropelvic junction obstruction
dc.subjectanastomosis
dc.subjectlaparoscopy
dc.subjectoperation duration
dc.subjectpathophysiology
dc.subjectphysiology
dc.subjectpostoperative period
dc.subjectpreschool child
dc.subjectprocedures
dc.subjectprospective study
dc.subjectreconstructive surgery
dc.subjectsuture anchor
dc.subjectsuture technique
dc.subjecttreatment outcome
dc.subjectureter obstruction
dc.subjecturodynamics
dc.subjecturologic surgery
dc.titleSuccessful outcomes in laparoscopic pyeloplasty using knotless self-anchoring barbed suture in children
dc.typeArticle

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