Comparing open and pneumovesical approach for ureteric reimplantation in pediatric patients—a preliminary review

Transvesicoscopic ureteral reimplantation: Politano–Leadbetter versus Cohen technique

“…Furthermore, postoperative hematuria among patients who underwent transvesicoscopic ureteral reimplantation was clearly less severe than after open surgery. A previous study found that recovery was quicker after transvesicoscopic ureteral reimplantation than after traditional open surgery …”

“…were the first to describe laparoscopic extravesical reimplantation in humans . Since then, a number of endoscopic and laparoscopic ureteral reimplantation techniques have been developed to treat VUR and vesicoureteral junction obstruction . A novel minimally invasive cross‐trigonal ureteral reimplantation technique under pneumovesicum, reported by Yeung, is now widespread and has better success rates than open cross‐trigonal reimplantation …”

“…The transvesicoscopic Cohen technique for cross‐trigonal ureteral reimplantation has been frequently described; however, there have been no reports regarding the Politano–Leadbetter technique . The theoretical advantages of ureteral reimplantation using the Politano–Leadbetter technique include the ability to create a long tunnel and carry out retrograde catheterization through the normal ureteral orifice .…”

Response to letter re ‘Pneumovesical ureteric reimplantation using T-fastener: a modification for bladder wall anchorage'

“…We would like to thank you for the opportunity to respond to the issues concerning methods of cystopexy. Indeed, the conventional approach of bladder wall anchoring used in our centre also applied the same 'U stitch' principle as described by the authors, but a loop was used to catch the suture instead of an ureteroscopic forceps [1]. The main reason for our switch over to the new modification is that passing the suture relies on a paradoxical vesicoscopic view, which may be time-consuming.…”

"Spaghetti Maneuver": A useful tool in pediatric laparoscopy - Our experience

“…[2][3][4] Pneumovesicoscopic ureteral reimplantation is also an alternative minimally invasive procedure, effective and safe in both adult and pediatric patients with severe vesicoureteral reflux (VUR) and recurrent urinary tract infections (UTIs), especially in cases where a previous endoscopic correction has failed. It yields good results, [5] it is associated with less postoperative morbidities and a shorter hospital stay compared to the traditional open method, [6] and has a high success rate (92-95% of cases). [7] Unfortunately, unlike in adults, in pediatric patients the laparoscopic workspace is rather limited, often making it difficult to isolate the anatomical structures involved, as well as dissection and knotting maneuvers.…”