The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children—Long-Term Follow-Up
Introduction. Vesicoureteral reflux (VUR) is a common urologic anomaly in children. Many techniques have been offered to manage this condition, in which one of them is modified Gil-Vernet antireflux surgery. The study fullfiled to evaluate the efficacy and safety of modified Gil-Vernet antireflux su...
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2018-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2018/4948165 |
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| author | Mahmoudreza Moradi Abolhassan Seyedzadeh Saeed Gharakhloo Aref Teymourinezhad Kaveh Kaseb Haress Rezaee |
| author_facet | Mahmoudreza Moradi Abolhassan Seyedzadeh Saeed Gharakhloo Aref Teymourinezhad Kaveh Kaseb Haress Rezaee |
| author_sort | Mahmoudreza Moradi |
| collection | DOAJ |
| description | Introduction. Vesicoureteral reflux (VUR) is a common urologic anomaly in children. Many techniques have been offered to manage this condition, in which one of them is modified Gil-Vernet antireflux surgery. The study fullfiled to evaluate the efficacy and safety of modified Gil-Vernet antireflux surgery in correction of high-grade VUR. Materials and Methods. A retrospective study in which we evaluated efficacy, safety, and complications of modified Gil-Vernet antireflux surgery as a choice procedure for high-grade reflux in all patients who underwent it since 2000 to 2016 at 2 hospitals of Kermanshah University of medical sciences that all of them were done by one surgeon. Results. 183 patients with 290 high-grade refluxing units (grade IV or V) were reviewed. 182 refluxing units were grade IV, and 108 units were grade V. There were 76 (41.54%) patients with unilateral and 107 (58.46%) patients with bilateral VUR. Reflux in high-grade group corrected completely in 278 (95.86%) refluxing units and 175 patients (95.62%). Conclusions. Our results are remarkable and compatible with other techniques’ results. This simple and safe technique can correct bilateral VURs simultaneously; thus, it is rational to be considered for high-grade VUR correction. According to our results, we suggest the modified Gil-Vernet antireflux procedure for high-grade VUR correction as a simple, safe, and successful technique. This trial is registered with 67145/86/1233. |
| format | Article |
| id | doaj-art-92408b13a06148e7977a530299e7b431 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
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| series | Advances in Urology |
| spelling | doaj-art-92408b13a06148e7977a530299e7b4312025-02-03T05:48:38ZengWileyAdvances in Urology1687-63691687-63772018-01-01201810.1155/2018/49481654948165The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children—Long-Term Follow-UpMahmoudreza Moradi0Abolhassan Seyedzadeh1Saeed Gharakhloo2Aref Teymourinezhad3Kaveh Kaseb4Haress Rezaee5Professor in Pediatric Urology, Chairman of Urology Department in Imam Reza Hospital, Chairman of Regenerative Medicine Research Center (RMRC), Kermanshah University of Medical Sciences, Kermanshah, IranProfessor in Pediatric Nephrology, Kermanshah University of Medical Sciences, Kermanshah, IranUrology Resident in Kermanshah University of Medical Sciences, Kermanshah, IranUrology Resident in Kermanshah University of Medical Sciences, Kermanshah, IranUrology Resident in Kermanshah University of Medical Sciences, Kermanshah, IranUrology Resident in Kermanshah University of Medical Sciences, Kermanshah, IranIntroduction. Vesicoureteral reflux (VUR) is a common urologic anomaly in children. Many techniques have been offered to manage this condition, in which one of them is modified Gil-Vernet antireflux surgery. The study fullfiled to evaluate the efficacy and safety of modified Gil-Vernet antireflux surgery in correction of high-grade VUR. Materials and Methods. A retrospective study in which we evaluated efficacy, safety, and complications of modified Gil-Vernet antireflux surgery as a choice procedure for high-grade reflux in all patients who underwent it since 2000 to 2016 at 2 hospitals of Kermanshah University of medical sciences that all of them were done by one surgeon. Results. 183 patients with 290 high-grade refluxing units (grade IV or V) were reviewed. 182 refluxing units were grade IV, and 108 units were grade V. There were 76 (41.54%) patients with unilateral and 107 (58.46%) patients with bilateral VUR. Reflux in high-grade group corrected completely in 278 (95.86%) refluxing units and 175 patients (95.62%). Conclusions. Our results are remarkable and compatible with other techniques’ results. This simple and safe technique can correct bilateral VURs simultaneously; thus, it is rational to be considered for high-grade VUR correction. According to our results, we suggest the modified Gil-Vernet antireflux procedure for high-grade VUR correction as a simple, safe, and successful technique. This trial is registered with 67145/86/1233.http://dx.doi.org/10.1155/2018/4948165 |
| spellingShingle | Mahmoudreza Moradi Abolhassan Seyedzadeh Saeed Gharakhloo Aref Teymourinezhad Kaveh Kaseb Haress Rezaee The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children—Long-Term Follow-Up Advances in Urology |
| title | The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children—Long-Term Follow-Up |
| title_full | The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children—Long-Term Follow-Up |
| title_fullStr | The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children—Long-Term Follow-Up |
| title_full_unstemmed | The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children—Long-Term Follow-Up |
| title_short | The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children—Long-Term Follow-Up |
| title_sort | modified gil vernet antireflux surgery a successful technique for high grade vesicoureteral reflux correction in children long term follow up |
| url | http://dx.doi.org/10.1155/2018/4948165 |
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