RESULTS OF CONGENITAL HYDRONEPHROSIS SURGICAL CORRECTION IN INFANTS
- Authors: Beknazarov D.B.1, Agzamkhodjaev S.T.1, Abdullaev Z.B.1, Sanginov S.A.1
-
Affiliations:
- Tashkent Pediatric Medical Institute
- Issue: Vol 8, No 1 (2018)
- Pages: 31-35
- Section: Original Study Articles
- URL: https://bakhtiniada.ru/2219-4061/article/view/122751
- DOI: https://doi.org/10.17816/psaic396
- ID: 122751
Cite item
Full Text
Abstract
131 children with congenital hydronephrosis (CH) underwent a surgery. The patients were divided into 2 groups: group I (n=91) with children from 1 month old to 1 year old, and group II (n=91) with children from 1 to 3 years old. Analysis of surgical treatment results has shown that the frequency of intra- and postoperation complications in the both groups was the same. Good and satisfactory results were noted in 89 (98%) patients from group I and in 38 (95%) patients from group II. This reveals a high effectiveness of surgical treatment and feasibility of early correction of the defect. The conducted studies show that the long-term follow-up of children with congenital hydronephrosis is insufficient.
Early correction of pyeloureteral segment obstruction (PSO) in the lack of infection allows to preserve the renal function and creates optimal conditions for subsequent development and growth of renal tissue functional structures.
About the authors
D. B. Beknazarov
Tashkent Pediatric Medical Institute
Email: fake@neicon.ru
Dr.Sci (med), professor Uzbekistan
S. T. Agzamkhodjaev
Tashkent Pediatric Medical Institute
Author for correspondence.
Email: ast.doctor@gmail.com
Аssistant. Department of pediatric surgery,
223, Bogishamol, Tashkent, 100140
UzbekistanZ. B. Abdullaev
Tashkent Pediatric Medical Institute
Email: fake@neicon.ru
Аssistant. Department of pediatric surgery Uzbekistan
S. A. Sanginov
Tashkent Pediatric Medical Institute
Email: fake@neicon.ru
3d year of master degree. Department of pediatric surgery Uzbekistan
References
- Capello S. A., Kogan B. A., Giorgi L. J. et al. Prenatal ultrasound has led to earlier detection and repair of ureteropelvic junction obstruction // J Urol. 2005. Vol. 174. P. 1425–1428.
- Hubert K. C., Palmer J. S. Current diagnosis and management of fetal genitourinary abnormalities // Urol Clin North Am. 2007. Vol. 34. P. 89–101.
- Menon P. et al. Outcome analysis of pediatric pyeloplasty in units with less than 20% differential renal function // J Ped Urol. 2016. Vol. 10. P. 11–18.
- Ruiz E., Soria R., Ormaechea E., Marcelo M. et al. Simplified Open Approach to Surgical Treatment of Ureteropelvic Junction Obstruction in Young Children and Infants // J Urol. 2011. Vol. 185. P. 2512–2516.
- Bajpai M., Chandrasekharam V. S. Nonoperative management of neonatal moderate to severe bilateral hydronephrosis // J Urol. 2002. Vol. 167. P. 662–665.
- Onen A. The natural history and therapeutic approach of antenatally diagnosed primary UPJ-type hydronephrosis // Turkish J Pediatr Surg. 2006. Vol. 20. P. 33–38.
- Сизонов В. В. Диагностика обструкции пиелоуретерального сегмента у детей // Вестник урологии. 2016. №4. С. 56.
- Clavien P., Barcun J., Oliviera M. et al. The Clavien-Dindo classification of surgical complications // Ann Surg. 2009. Vol. 250. №2. P. 187–196.
- Fernbach S. K., Maizels M., Conway J. J. Ultrasound grading of hydronephrosis: introduction to the system used by the Society for Fetal Urology // Pediatr Radiol. 1993. Vol. 23. P. 478–480.
Supplementary files
