FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1820776859> ?p ?o ?g. }

• W1820776859 endingPage "103.e4" @default.
• W1820776859 startingPage "103.e1" @default.
• W1820776859 abstract "Introduction The management of primary obstructed megaureter (POM) ranges from temporary double-J stenting to conventional ureteric reimplantation with tapering. Of late, several authors have favored refluxing reimplantation. In the present study the outcomes of ‘mini reimplantation’, where no tapering or advancement of the ureter was performed, have been analyzed. Methods Records of all children (n = 28) who underwent reimplantation for POM from 2004 to 2014 were retrospectively analyzed. During the initial 5 years, a Cohen's reimplantation with excisional tapering was performed (Group 1, n = 15). Due to complications, the technique was modified in the second 5 years (Group 2, n = 13). In this group, after opening the bladder, the distal narrow segment and grossly dilated POM (around 3–5 cm) were excised (Figure). After closing the detrusor behind the ureter, the ureter was reimplanted again at the original position without tapering or advancement. Bladder mucosa was closed cranial to the new ureteric orifice, providing a ureter:tunnel ratio of 1:2 (mini reimplantation). All patients underwent repeat ultrasonogram and MAG3 renogram, with indirect at 6 months and 1 year after stent removal to exclude obstruction/vesicoureteral reflux (VUR). Results In Group 1, a significantly higher proportion (P = 0.04) of patients (5/15) had to undergo repeat procedures for complications, compared with none in Group 2. In Group 1, there were two redo reimplants for recurrent obstructions; two nephrectomies for non-functioning kidneys; and one ureterostomy for pyonephrosis. Postoperative Grade 2–3 VUR was encountered in 3/15 patients in Group 1, and 2/13 patients in Group 2. These patients could be managed with antibiotic prophylaxis and no intervention was required. Discussion Conventional management of POM involved initial cutaneous ureterostomy, followed by reimplantation with tapering of the ureter. Megaureter reimplantation with and without tapering has been reported to have no significant difference in outcomes between them. To avoid a potentially difficult operation in a small infant bladder, a refluxing reimplantation has been proposed; however, there is a high re-operation rate following this technique. The management of primary obstructed megaureter (POM) ranges from temporary double-J stenting to conventional ureteric reimplantation with tapering. Of late, several authors have favored refluxing reimplantation. In the present study the outcomes of ‘mini reimplantation’, where no tapering or advancement of the ureter was performed, have been analyzed. Records of all children (n = 28) who underwent reimplantation for POM from 2004 to 2014 were retrospectively analyzed. During the initial 5 years, a Cohen's reimplantation with excisional tapering was performed (Group 1, n = 15). Due to complications, the technique was modified in the second 5 years (Group 2, n = 13). In this group, after opening the bladder, the distal narrow segment and grossly dilated POM (around 3–5 cm) were excised (Figure). After closing the detrusor behind the ureter, the ureter was reimplanted again at the original position without tapering or advancement. Bladder mucosa was closed cranial to the new ureteric orifice, providing a ureter:tunnel ratio of 1:2 (mini reimplantation). All patients underwent repeat ultrasonogram and MAG3 renogram, with indirect at 6 months and 1 year after stent removal to exclude obstruction/vesicoureteral reflux (VUR). In Group 1, a significantly higher proportion (P = 0.04) of patients (5/15) had to undergo repeat procedures for complications, compared with none in Group 2. In Group 1, there were two redo reimplants for recurrent obstructions; two nephrectomies for non-functioning kidneys; and one ureterostomy for pyonephrosis. Postoperative Grade 2–3 VUR was encountered in 3/15 patients in Group 1, and 2/13 patients in Group 2. These patients could be managed with antibiotic prophylaxis and no intervention was required. Conventional management of POM involved initial cutaneous ureterostomy, followed by reimplantation with tapering of the ureter. Megaureter reimplantation with and without tapering has been reported to have no significant difference in outcomes between them. To avoid a potentially difficult operation in a small infant bladder, a refluxing reimplantation has been proposed; however, there is a high re-operation rate following this technique." @default.
• W1820776859 created "2016-06-24" @default.
• W1820776859 creator A5051528118 @default.
• W1820776859 date "2016-04-01" @default.
• W1820776859 modified "2023-09-24" @default.
• W1820776859 title "‘Mini reimplantation’ for the management of primary obstructed megaureter" @default.
• W1820776859 cites W2001913897 @default.
• W1820776859 cites W2015037529 @default.
• W1820776859 cites W2021728733 @default.
• W1820776859 cites W2022058427 @default.
• W1820776859 cites W2099788505 @default.
• W1820776859 cites W2111899983 @default.
• W1820776859 cites W2136499993 @default.
• W1820776859 cites W2463897239 @default.
• W1820776859 doi "https://doi.org/10.1016/j.jpurol.2015.08.017" @default.
• W1820776859 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26490102" @default.
• W1820776859 hasPublicationYear "2016" @default.
• W1820776859 type Work @default.
• W1820776859 sameAs 1820776859 @default.
• W1820776859 citedByCount "8" @default.
• W1820776859 countsByYear W18207768592016 @default.
• W1820776859 countsByYear W18207768592017 @default.
• W1820776859 countsByYear W18207768592020 @default.
• W1820776859 countsByYear W18207768592021 @default.
• W1820776859 countsByYear W18207768592023 @default.
• W1820776859 crossrefType "journal-article" @default.
• W1820776859 hasAuthorship W1820776859A5051528118 @default.
• W1820776859 hasConcept C121608353 @default.
• W1820776859 hasConcept C126322002 @default.
• W1820776859 hasConcept C126894567 @default.
• W1820776859 hasConcept C141071460 @default.
• W1820776859 hasConcept C2775910329 @default.
• W1820776859 hasConcept C2776578667 @default.
• W1820776859 hasConcept C2776664737 @default.
• W1820776859 hasConcept C2777312559 @default.
• W1820776859 hasConcept C2777418479 @default.
• W1820776859 hasConcept C2777609623 @default.
• W1820776859 hasConcept C2778583881 @default.
• W1820776859 hasConcept C2779134260 @default.
• W1820776859 hasConcept C2779345524 @default.
• W1820776859 hasConcept C2780091579 @default.
• W1820776859 hasConcept C2780227381 @default.
• W1820776859 hasConcept C2780352672 @default.
• W1820776859 hasConcept C43270747 @default.
• W1820776859 hasConcept C71924100 @default.
• W1820776859 hasConceptScore W1820776859C121608353 @default.
• W1820776859 hasConceptScore W1820776859C126322002 @default.
• W1820776859 hasConceptScore W1820776859C126894567 @default.
• W1820776859 hasConceptScore W1820776859C141071460 @default.
• W1820776859 hasConceptScore W1820776859C2775910329 @default.
• W1820776859 hasConceptScore W1820776859C2776578667 @default.
• W1820776859 hasConceptScore W1820776859C2776664737 @default.
• W1820776859 hasConceptScore W1820776859C2777312559 @default.
• W1820776859 hasConceptScore W1820776859C2777418479 @default.
• W1820776859 hasConceptScore W1820776859C2777609623 @default.
• W1820776859 hasConceptScore W1820776859C2778583881 @default.
• W1820776859 hasConceptScore W1820776859C2779134260 @default.
• W1820776859 hasConceptScore W1820776859C2779345524 @default.
• W1820776859 hasConceptScore W1820776859C2780091579 @default.
• W1820776859 hasConceptScore W1820776859C2780227381 @default.
• W1820776859 hasConceptScore W1820776859C2780352672 @default.
• W1820776859 hasConceptScore W1820776859C43270747 @default.
• W1820776859 hasConceptScore W1820776859C71924100 @default.
• W1820776859 hasIssue "2" @default.
• W1820776859 hasLocation W18207768591 @default.
• W1820776859 hasLocation W18207768592 @default.
• W1820776859 hasOpenAccess W1820776859 @default.
• W1820776859 hasPrimaryLocation W18207768591 @default.
• W1820776859 hasRelatedWork W1820776859 @default.
• W1820776859 hasRelatedWork W1966978597 @default.
• W1820776859 hasRelatedWork W1984210367 @default.
• W1820776859 hasRelatedWork W2029390966 @default.
• W1820776859 hasRelatedWork W2068151159 @default.
• W1820776859 hasRelatedWork W2413287870 @default.
• W1820776859 hasRelatedWork W2607123566 @default.
• W1820776859 hasRelatedWork W2903580826 @default.
• W1820776859 hasRelatedWork W4225141928 @default.
• W1820776859 hasRelatedWork W4327808670 @default.
• W1820776859 hasVolume "12" @default.
• W1820776859 isParatext "false" @default.
• W1820776859 isRetracted "false" @default.
• W1820776859 magId "1820776859" @default.
• W1820776859 workType "article" @default.