Bilateraler Reflux – Kontra intravesikale Techniken

Zusammenfassung

In der Refluxchirurgie dürfen heute auch Operationsentscheidungen individuell getroffen werden. Da nahezu alle offen operativen Implantationstechniken sehr gute und dauerhafte Ergebnisse erreichen und Eltern wenig invasive Verfahren vorziehen, sollte, wenn zur Korrektur eines bilateralen Refluxes intravesikale Techniken eingesetzt werden, deren erhöhte Invasivität gemessen an längeren Operationszeiten, längerer Katheterliegedauer, längerem stationären Aufenthalt und mehr Komplikationen wie Makrohämaturie und Blasentenesmen im Vergleich zu extravesikalen Techniken diskutiert und mit den Eltern besprochen werden.

Abstract

In reflux surgery, decisions on surgical procedures can be made on an individual basis today. Almost all open surgical implantation techniques provide very good, sustainable results, and parents prefer less invasive techniques. Therefore, if intravesical techniques are used to correct bilateral reflux, it should be considered and discussed with the parents that these procedures are associated with increased invasiveness in terms of longer operation times, longer catheter dwell times, a longer inpatient stay and more complications such as macrohaematuria and bladder spams compared with extravesical techniques.

Schlüsselwörter

Bilateraler vesikoureteraler Reflux - extravesikal - Antirefluxplastik - Lich-Gregoir Implantation

Keywords

bilateral vesicoureteral reflux - extravesical - antireflux technique - Lich-Gregoir ureteral reimplantation

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