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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 1998  |  Volume : 3  |  Issue : 4  |  Page : 103-108

Hydronephrosis due to pelviureteric junction obstruction : a retrospective study.


Department of Pediatric Surgery Park Children's Centre for Treatment and Research, Calcutta Medical Research Institute, Kothari Medical Centre, Calcutta, India

Correspondence Address:
AK Basu
Department of Pediatric Surgery Park Children's Centre for Treatment and Research, Calcutta Medical Research Institute, Kothari Medical Centre, Calcutta
India
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Source of Support: None, Conflict of Interest: None


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ABSTRACT: Seventy two patients of pelviureteric junction obstruction treated between May 1987 and June 1997 have been included in this study. Majority presented with abdominal limp. Investigation included USG,IVU and radionucleotide study. Eight additional patients had prenatal diagnosis. In 49 patients the disease was left sided, and in 17 patients it was right sided; in 6 the involvement was bilateral. Two patients had hydronephrosis in a solitary left kidney and presented with renal failure. Seventy-one patients had dismembered pyeloplasty. Anastomosis was done with No 5/0 chromic catgut. Stent, nephrostomy and drain were used. One patient had nephrectomy. Two patients presenting with renal failure had preliminary nephrostomy. Postoperative complications included urinoma, prolonged urinary leak, infection, nonfunctioning kidney, and recurrent hydronephrosis. Two patients needed revision procedures. Purpose of this presentation is to highlight excellent result of a simple procedure which can be performed in all centres without the help of any sophisticated instrument.






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