UFAS1 PLATFORM EVENTS, The First Intercontinental Congress of Pediatric Urology

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Laparoscopic approach of vesioco-ureteral reflux in children
RIAD ADJERID

Last modified: 2019-08-21

Abstract


Introduction:

The  laparoscopic repair for VUR was described for the first time in 1994 by Ehrlich et al. Since then different studies have been published concluding to a  success rates  comparable to open surgery, with less morbidity. The aim of this work is to present a case of a unilateral VUR  in an 6-year-old girl treated by laparoscopic lich gregoir approch.

The aim of our work is to present a clinical case of left vesico-ureteral reflux in a 6-year-old girl treated with laparoscopy "5-minute video".

Methods:

6-year-old girl with a history of a left unilateral VUR grade 3,  whose the follow-up found urinary tract infections despite good compliance with prophylactic antibiotic treatment, as well as sequelae of pyelonephritis and  deterioration of renal function on  scintigraphy.

This child underwent a laparoscopic treatment of his vesico-ureteral reflux according to the technique of Lich Gregoire.

Results:

The patient was operated by laparoscopy using three 5 mm trocarts, the operating time was 300 minutes, the child came out of the hospital 2 days postoperatively.

The follow-up was a clinical evaluation with no urinary tractus infection,  urethrocystography was performed  at 6-month  There's no  VUR.

Conclusion:

The extravesical Laparoscopic   treatment of vesico-ureteral reflux in children according to Lich-Gregoir technique is an  alternative to open surgery.