Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger
In: BMC Surgery ; volume 19, issue 1 ; ISSN 1471-2482, 2019
academicJournal
Zugriff:
Background Pyelo-ureteral junction syndrome (PUJS) is a frequent congenital malformation. We report the surgical management of PUJS by pyeloplasty according to Anderson-Hyne-Kuss’s procedure at the Zinder National Hospital.. Methods This was a retrospective study from January 2013 to December 2016 (4 years), including patients who have undergone surgery for PUJS. Results Twelve (12) cases of PUJS had a surgery among which 66.7% were men with an average age of 32.5 ± 7.6 years. The clinical symptomatology was lumbar pain or renal colic in 92.3% of cases. This pain had evolved for more than 2 years for 58.3% of the cases. Ultrasound coupled with intravenous urography or CT-scan was performed to confirm the diagnosis of PUJS in 58.3 and 41.7% of cases. The average serum creatinine level at admission was 181.25 ± 67.3 μmol/L [Lab reference range: 53–97 μmol/L]. The Anderson-Hynes non dismembered pyeloplasty is used for all the patients. The release of a crossing lower pole vessel was performed in 25%, pyelolithotomy in 16.7%. The average surgery time was 118.3 ± 20.7 min. The average hospital length of stay was 10.8 ± 3 days. Immediate postoperative complications were recorded in 33.3% ( n = 4). Postoperative outcomes were considered good by disappearance of clinical, biological and radiological signs. Conclusion The Anderson-Hynes non dismembered pyeloplasty gives good results and provides a successful alternative in an environment where laparoscopy and robotic surgery are not developed.
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Surgical management of pyelo-ureteral junction syndrome in a resource-limited setting: case of Zinder National Hospital, Niger
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Autor/in / Beteiligte Person: | Adamou, Harissou ; Amadou Magagi, Ibrahim ; Halidou, Maazou ; Diongolé, Hassane ; Doutchi, Mahamadou ; Habou, Oumarou ; Ganiou, Kabirou ; Soumana, Amadou ; Sani, Rachid |
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Zeitschrift: | BMC Surgery ; volume 19, issue 1 ; ISSN 1471-2482, 2019 |
Veröffentlichung: | Springer Science and Business Media LLC, 2019 |
Medientyp: | academicJournal |
DOI: | 10.1186/s12893-019-0609-2 |
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