The Modified Gil-Vernet Antireflux Surgery: A Successful Technique for High-Grade Vesicoureteral Reflux Correction in Children-Long-Term Follow-Up.

IF 1.8 Q3 UROLOGY & NEPHROLOGY Advances in Urology Pub Date : 2018-10-21 eCollection Date: 2018-01-01 DOI:10.1155/2018/4948165

Mahmoudreza Moradi, Abolhassan Seyedzadeh, Saeed Gharakhloo, Aref Teymourinezhad, Kaveh Kaseb, Haress Rezaee

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Abstract

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.

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改良Gil-Vernet抗反流手术:一种成功的儿童高级别膀胱输尿管反流矫正技术——长期随访。

膀胱输尿管反流(VUR)是儿童常见的泌尿系统异常。许多技术已经被提供来控制这种情况，其中一种是改良的吉尔-韦尔内抗反流手术。本研究旨在评价改良Gil-Vernet抗反流手术矫正高级别VUR的疗效和安全性。材料和方法:一项回顾性研究，我们评估了2000年至2016年在Kermanshah医科大学2家医院接受改良Gil-Vernet抗反流手术作为高级别反流选择手术的所有患者的有效性、安全性和并发症，所有患者均由一名外科医生完成。结果:183例患者有290个高级别反流单位(IV级或V级)。其中单侧VUR 76例(41.54%)，双侧VUR 107例(58.46%)，IV级为182个，v级为108个。高级别组有278个反流单位(95.86%)和175例患者(95.62%)完全纠正反流。结论:本实验结果显著，与其他方法的结果一致。该技术简单安全，可同时矫正双侧vur;因此，考虑进行高级别VUR校正是合理的。根据我们的结果，我们建议改良的Gil-Vernet抗反流手术是一种简单、安全、成功的技术。该试验注册号为67145/86/1233。

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来源期刊

Advances in Urology UROLOGY & NEPHROLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Urology is a peer-reviewed, open access journal that publishes state-of-the-art reviews and original research papers of wide interest in all fields of urology. The journal strives to provide publication of important manuscripts to the widest possible audience worldwide, without the constraints of expensive, hard-to-access, traditional bound journals. Advances in Urology is designed to improve publication access of both well-established urologic scientists and less well-established writers, by allowing interested scientists worldwide to participate fully.