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Vascular Hitch for Paediatric Pelvi‐ureteric Junction Obstruction with Crossing Vessels: Institutional Analysis and Systematic Review with Meta‐analysis by Jin K. Kim; Daniel T. Keefe; Mandy Rickard; Karen Milford; Armando J. Lorenzo; Michael E. Chua is a Medicine article available to read on EtoBox.
What is Vascular Hitch for Paediatric Pelvi‐ureteric Junction Obstruction with Crossing Vessels: Institutional Analysis and Systematic Review with Meta‐analysis about?
## Objective To compare the outcomes for laparoscopic vascular hitch (VH) and dismembered pyeloplasty in patients with pelvi‐ureteric junction obstruction (PUJO) secondary to crossing vessels (CV). ## Patients and Methods Patients who underwent laparoscopic management of CV at our institution were identified between 2008 and 2020. Baseline characteristics and outcome measures were compared between those who underwent VH and those who underwent dismembered pyeloplasty. Those who underwent VH were selected intraoperatively by identifying CV in the absence of intrinsic obstruction by assessing resolution of hydronephrosis after cranially displacing the CV away from the PUJ, followed by intraoperative fluid bolus and diuretic test. In addition, a systematic search and meta‐analysis were performed in June 2020 (International Prospective Register of Systematic Reviews [PROSPERO] ID CRD42020195833). ## Results A total of 20 patients underwent VH and 74 dismembered pyeloplasty. On multivariate analysis, VH was associated with: shorter operative time (P = 0.001; odds ratio [OR] 0.455, 95% confidence interval [CI] 0.294–0.705) and length of stay (P = 0.012; OR 0.383, 95% CI 0.183–0.803), low
Who reads Vascular Hitch for Paediatric Pelvi‐ureteric Junction Obstruction with Crossing Vessels: Institutional Analysis and Systematic Review with Meta‐analysis?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Jin K. Kim; Daniel T. Keefe; Mandy Rickard; Karen Milford; Armando J. Lorenzo; Michael E. Chua
- Publisher
- Wiley
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)