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JSLS. 2014 Jan-Mar;18(1):116-9. doi: 10.4293/108680813X13693422519235.

Laparoscopic nephropexy with polymer clips.

Author information

1
Department of Urology, Koru Hospital, Ankara, Turkey.
2
Department of Urology, Gazi University, Ankara, Turkey.
3
Umit mah, Yeni Çağın Sitesi, A Blok No 38, Yenimahalle, Ankara, Turkey. mkirac@gmail.com.

Abstract

BACKGROUND AND OBJECTIVES:

We present our initial experience and long-term results with transperitoneal laparoscopic nephropexy with nonabsorbable polymer clips.

METHODS:

Seven patients aged 34 to 47 years previously diagnosed with mobile kidney presented with chronic pain refractory to analgesics and underwent a transperitoneal laparoscopic nephropexy procedure with nonabsorbable polymer clips by fixing the perirenal tissue to the transversus abdominis fascia and triangular ligament.

RESULTS:

Mean operation time was 20 minutes. All patients were discharged after 24 hours. Follow-up intravenous pyelogram (IVP) at 60 and 150 days showed the right kidneys in a more cephalad position, and showed pelvicaliceal dilatations and that the ureteral kinks seemed to be resolved. On days 15, 60, 90, and 150 of the first- and second-year follow-ups, severity of pain was 1 of 10 on the visual analog scale.

CONCLUSION:

We believe that the technique of transperitoneal laparascopic nephropexy with nonabsorbable polymer clips on patients with symptomatic mobile kidney is safe and easy to perform and shows successful long-term results.

PMID:
24680153
PMCID:
PMC3939325
DOI:
10.4293/108680813X13693422519235
[Indexed for MEDLINE]
Free PMC Article

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