Anterior vesical hitch--a step to enhance safety of percutaneous access to bladder.
J Pediatr Urol
; 9(3): 380-3, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-23103211
ABSTRACT
PURPOSE:
To describe the novel technique of anterior vesical hitch to enhance the efficacy and safety of percutaneous bladder surgery. MATERIALS ANDMETHODS:
The anterior bladder wall is anchored to the anterior abdominal wall with the help of a prolene suture passed slightly lateral to the midline midway between the pubic symphysis and umbilicus. Percutaneous cystolitholapaxy and antegrade posterior urethral valve ablation were performed after anterior vesical hitch in five pediatric male patients. Data collected included operative parameters and complications related to the technique.RESULTS:
Mean patient age was 2.9 years (range 1.5-6 years). Three patients had bladder stones and two had posterior urethral valves. Mean time to achieve bilateral parietal fixation of the bladder was 7 min 20 s. There was no intraoperative slippage of Amplatz sheath or suture cut through. No bleeding from the puncture site was encountered. No postoperative complication related to the percutaneous access tract was noted in any patient.CONCLUSIONS:
The anterior vesical hitch procedure is safe and easy. It prevents slippage of Amplatz sheath during percutaneous access to the bladder lumen.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Urológicos
/
Bexiga Urinária
/
Técnicas de Sutura
Limite:
Child
/
Child, preschool
/
Humans
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Male
Idioma:
En
Revista:
J Pediatr Urol
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Índia