Successful outcomes in laparoscopic pyeloplasty using knotless self-anchoring barbed suture in children

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dc.contributor.authorYilmaz O.
dc.contributor.authorTanriverdi H.I.
dc.contributor.authorCayirli H.
dc.contributor.authorErtan P.
dc.contributor.authorSencan A.
dc.contributor.authorGenc A.
dc.contributor.authorTaneli C.
dc.date.accessioned2019-10-26T21:12:55Z
dc.date.available2019-10-26T21:12:55Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractIntroduction: Laparoscopic pyeloplasty for ureteropelvic junction obstruction in children has gained increasing importance over the last decade. Intracorporeal knot tying still remains a technical challenge for the surgeon. Self-anchoring suture incorporates a new concept for tissue approximation and reduces intracorporeal knot tying problems. There are very few reports on self-anchoring knotless suture and its application for laparoscopic pyeloplasty in children. We present our results of a series of consecutive children undergoing laparoscopic pyeloplasty with knotless barbed sutures. Material and method: We prospectively evaluate 15 consecutive patients who underwent laparoscopic pyeloplasty with knotless barbed sutures (V-LocTM, Covidien) for ureteropelvic anastomosis. The decision of the operation was given by pediatric nephrology-urology-radiologic imaging diagnostic team, and all patients were operated by a single surgeon. Pyeloplasty was performed without pelvic reduction, and the anastomosis was made by barbed sutures using running fashion. Results: The mean age of the patients were 5.39 (3 months-17 years). Two cases had undergone a right-sided pyeloplasty, and thirteen had undergone a left-sided pyeloplasty. The duration of the operative procedure was 60–110 min. Neither intraoperative nor postoperative complication was encountered in any of the cases. Patients were followed by ultrasonographic evaluation. The anteroposterior diameter (AP) diameter of renal pelvis and hydronephrosis grade Society for Fetal Urology (SFU) are significantly different when compared with pre-operative and postoperative period (p = 0.001 and p = 0.001, respectively). Owing to the renal parenchymal thickness change by age pre-operative and postoperative thickness comparison is adjusted by age, because age is considered as a covariate (confounder variable). We observed statistically significant (p = 0.003) difference in parenchymal thickness in all cases. Follow-up periods of the 15 consecutive pediatric pyeloplasty cases were 6–54 months. Conclusion: In the present study, successful outcome of the laparoscopic pyeloplasty using barbed suture was shown for the first time in children in literature. We believe that successful outcome of laparoscopic pyeloplasty could be achieved by eliminating knots and less manipulation on the wound edge also minimizes tissue injury during the procedure.[Figure presented] [Table presented] © 2019 Journal of Pediatric Urology Companyen_US
dc.identifier.doi10.1016/j.jpurol.2019.07.023
dc.identifier.issn1477-5131
dc.identifier.issn1477-5131en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpurol.2019.07.023
dc.identifier.urihttps://hdl.handle.net/11454/15754
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Ltden_US
dc.relation.ispartofJournal of Pediatric Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBarbed sutureen_US
dc.subjectChildrenen_US
dc.subjectLaparoscopic pyeloplastyen_US
dc.subjectTransmesocolicen_US
dc.titleSuccessful outcomes in laparoscopic pyeloplasty using knotless self-anchoring barbed suture in childrenen_US
dc.typeArticleen_US

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