Ureterolysis and Boari Flap

Cheng, Nathan; Ahmed, Mutahar; Stifelman, Michael

doi:10.1007/978-3-030-50196-9_12

Cited by 1 publication

(1 citation statement)

References 29 publications

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“…MACE, also known as appendicostomy, involves using the appendix and/or cecum to create a continent channel from the skin to the proximal colon to allow for enema administration in patients with bowel dysfunction. [ 59 ] This technique can be used to achieve fecal continence in patients with neurogenic bowel, which may stem from conditions such as spinal cord injury, spina bifida, tethered cord, cerebral palsy, or sacral agenesis. Since patients with neurogenic bowel disorders frequently co-present with neurogenic bladder, the construction of MACE and APV catheterizable channels serve as viable treatment options to achieve social continence.…”

Section: Malone Antegrade Continence Enemamentioning

confidence: 99%

Pediatric robotic urologic procedures: Indications and outcomes

Hou

Xing

Gundeti

2023

Indian Journal of Urology

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Introduction: Robotic-assisted laparoscopic surgery (RALS) has revolutionized minimally invasive surgery in pediatric urology. The robotic platform allows surgeons to maintain the benefits of laparoscopic surgery while having enhanced three-dimensional view, dexterity, range of motion, and control of high-resolution cameras. In this review, we summarize the indications and recent outcomes for various pediatric urologic RALS procedures to illustrate the current state of robotics in pediatric urology. Methods: We systematically searched the PubMed and EMBASE databases. We extrapolated and summarized recent evidence on RALS in pediatric urology patients, with an emphasis on indications and outcomes, with regard to the following procedures and search terms: pyeloplasty, kidney stone surgery, partial nephrectomy, nephroureterectomy, ureteral reimplantation, appendico-vesicostomy, augmentation cystoplasty, bladder neck reconstruction, and Malone antegrade continence enema. Additional Medical Subject Headings terms used to augment the search included “Treatment Outcome” and “Robotic Surgical Procedures.” Results: Increasing usage of RALS has shown many benefits in perioperative and postoperative outcomes. In addition, there is growing evidence that robotic procedures in pediatric urology result in similar or better surgical outcomes when compared to the standard of care. Conclusions: RALS has shown considerable effectiveness in pediatric urologic procedures and may achieve surgical outcomes comparable to the standard approaches of open or laparoscopic surgery. However, larger case series and prospective randomized controlled trials are still necessary to validate the reported outcomes, in addition to cost analyses and studies on the surgical learning curve. We believe that the continuous evolution of robotic platforms will allow for enhanced care and quality of life for pediatric urology patients.

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Section: Malone Antegrade Continence Enemamentioning

confidence: 99%