Search results for "Exteriorization"

Posterior One-Trocar-Assisted Pyeloplasty

2019

Introduction Ureteropelvic junction obstruction is the most common pediatric obstructive uropathy. Retroperitoneal lap- aroscopic-assisted dismembered pyeloplasty (OTAP) combines the advantages of a retroperitoneal approach with the high success rate of the open technique. A modification of the OTAP, using a posterior muscle-sparing incision to approach the kidney, is described. Surgical technique With the patient placed in prone position, a transverse 15-mm-long skin incision is made. A 12-mm bal- loon Hasson trocar with operative telescope is inserted after the Gerota’s fascia has been opened. The ureteropelvic junction is exteriorized and a traditional dismembered pyeloplasty is performe…