Study Of Therapeutic Results Of Vesicoureteral Reflux Repair In Children With modified Gil-Vernet Technique
Abstract
Background: Vesicoureteral reflux (VUR) is the most common congenital malformation of the urinary tract in children, but its management is still controversial. The preservation of renal function is considered the primary goal of early intervention.
Study Objective: The current study aims to evaluate the modified Gil-Vernet Technique in the treatment of children vesicoureteral reflux in terms of recurrence rate and complications of surgery.
Methods: In a prospective, prospective, prospective study that included 19 children with third-degree VUR and more; unilateral or bilateral attending Tishreen University Hospital in Lattakia during the period from June 2017 to June 2021, the modified Gil-Vernet Technique by open surgery was adopted.
Results: The results showed that there was a regression of hydronephrosis in ultrasound by 94.7% of the studied sample after three months of follow-up, and after six months of surgery, the ultrasound became normal in 43.75% of the cases. The result of urine examination was normal after three months of surgery in 57.9% of cases, and the percentage increased after six months of surgical treatment at the end of the follow-up period to 94.7%. No significant complications were seen in surgical patients during the follow-up period.
Conclusion: The modified Gil-Vernet Technique is a good method for the management of advanced third- and fourth-degree VUR in children with high rates of improvement and few complications..
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