Ajay Kumar
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 3
Abstract
andard for surgical treatment of PUJ obstruction. Over the last two decades the treatment approach to PUJ obstruction has evolved from open pyeloplasty to various minimally invasive procedures. Laparoscopic pyeloplasty has developed world wide as the first minimally invasive option to match success rate of open pyeloplasty Method: The study was carried out in our tertiary care centre between 2012 to 2015. 50 adult patients of Primary PUJ Obstruction were included in the study who underwent either Open or Laparoscopic Pyeloplasty. Patient were followed up after 4-6 weeks of surgery and outcome of surgery compared. Results: Laparoscopic pyeloplasty appears to be a safe and effective alternative to open pyeloplasty in adults. Laparoscopic Pyeloplasty has almost similar short term outcome if renal parameters are compared. A trend toward longer operating time but shorter hospital stay with the laparoscopic approach was noted, although at this point the evidence does not indicate either technique is better than the other. Conclusions: Laparoscopic Pyeloplasty is a technically sound operation which uses well established principles familiar to urologist. This procedure has a minimal level of morbidity, short hospital stay, better cosmesis compared to open approach. Laparoscopic pyeloplasty has emerged as the standard of care and is here to stay.
Authors and Affiliations
Ajay Kumar
Keywords
Related Articles
- EP ID EP545796
- DOI 10.21088/nijs.0976.4747.9318.1
- Views 108
- Downloads 0
A Study of Day Case Urology in Children: Our Experience
Aim: To analyse the day care urologic surgery cases in various paediatric surgical units in tertiary care centers in Bhopal. Material and Methods: This is a retrospective study; we reviewed the data of all urologic patie...
Procalcitonin Levels in Septic Patients with Trauma in Road Accidents in Tertiary Care Hospital
Sepsis is a complication of severe infection. It is characterised by a systemic inflammatory response to severe trauma. It is a potent cause of systemic inflammatory response. It is on a rise due to increasing number of...
Efficacy of ND: YAG Laser in Comparison with Intense Pulsed Light (IPL) for Treatment of Unwanted Body Hair- Preliminaryresults of a Prospective Comparative Study
Background: Laser epilation is a standard method for permanent hair removal. Intense pulsed light is another accepted and comparable method for the same. The previous studies were in conclusive about the efficiency and m...
A Comparitive Study of Needle Aspiration and Pigtail Catheter Drainage in Management of Liver Abscess
Background: Liver abscess was one of the high mortality diseases prior to the availability of percutaneous drainage techniques. Usg guided percutaneous drainage of liver abscess has been gained increased acceptance nower...
New Phase in Gastric Carcinoma Diagnosis: Haematological Biomarkers As Screening Markers
Gastric carcinomas are a commonly encountered malignancy worldwide. In India though the incidence is low as compared to worldwide statistics, it accounts for significant morbidity and mortality. Prognosis remains poor ev...