3 research outputs found
Endoscopic treatment of primary vesicoureteral reflux at Zagreb Childrenās Hospital
Cilj ovog Älanka je dati pregledni prikaz endoskopskog lijeÄenja primarnog vezikoureteralnog refluksa u djece, u razdoblju od 2012.do 2013. godine, koja su lijeÄena u Klinici za djeÄju kirurgiju Klinike za djeÄje bolesti Zagreb.Metode: Kratkom presjeÄnom retrospektivnom analizom obradili smo ukupno 66-ero bolesnika koji su endoskopski lijeÄeni na Klinici zbog primarnog VUR-a. Rezultat se smatrao zadovoljavajuÄim ako su dijagnostiÄki nalazi upuÄivali na odsutnost VUR-a ili ako je od posljednjeg zahvata proÅ”lo viÅ”e od dvije godine bez recidiva.Rezultati: Od ukupnog broja uretera 96,5% je uspjeÅ”no izlijeÄeno endoskopskim naÄinom lijeÄenja, 3,5% nije bilo izlijeÄeno. Nakon prvog endoskopskog zahvata izlijeÄeno je 50,9%, nakon drugog postotak raste na 75,4%, a nakon treÄeg zahvata na 92,1%, a postotakod 96,5% postignut je Äetvrtim zahvatom kod probranih bolesnika. Kod 3,5% uretera uÄinjena je otvorena antirefluksna plastika prema Lich-Gregoiru. ZakljuÄci: Endoskopski naÄin lijeÄenja zbog svog visokog postotka uÄinkovitosti, brzog oporavka i kratkog boravka u bolnici, ima prednost pred ostalim metodama lijeÄenja, pa je zato postao novi zlatni standard u lijeÄenju VUR-a.Objective: The aim of this paper is to give a preview of primary vesicoureteral reflux (VUR) endoscopic treatment at Department ofPaediatric Surgery, Zagreb Childrenās Hospital, in 2012 and 2013.Methods: Sixty-six patients having undergone endoscopic procedure for primary VUR were retrospectively analysed in this shortcross-sectional study. The outcome was deemed satisfactory in the absence of VUR as indicated by diagnostic methods or 2-yearpostprocedural relapse-free period.Results: Endoscopic procedure proved successful in 96.5% and unsuccessful in 3.5% of cases; 50.9% of all patients were successfullytreated in the first procedure, and this percentage increased to 75.4%,92.1% and 96.5% after the second, third and fourth procedurein selected patients, respectively; an open surgical procedure was required in 3.5% of cases. Our procedure of choice is Lich-Gregoirtechnique.Conclusion: Advantages of endoscopic treatment in comparison to other modalities are high-percentage success, faster recovery,and shorter hospital stay, therefore it has become the new gold standard of VUR treatment