Endovideosurgical interventions in the bladder diverticulum in children
- Authors: Valiev R.Y.1, Oganisyan A.A.1, Vrublevskij A.S.1, Galkina Y.A.1, Ahmetzhanov I.S.1, Vrublevskij S.G.1,2, Vrublevskaya E.N.1,2
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Affiliations:
- St. Luka Clinical Research Specialized Center for Children
- Pirogov Russian National Research Medical University
- Issue: Vol 27, No 4 (2023)
- Pages: 298-303
- Section: CASE REPORT
- Submitted: 10.01.2023
- Accepted: 24.10.2023
- Published: 24.10.2023
- URL: https://jps-nmp.ru/jour/article/view/754
- DOI: https://doi.org/10.55308/1560-9510-2023-27-4-298-303
- ID: 754
Cite item
Abstract
Introduction. Among congenital and acquired malformations in the urinary system organs, one of the topical issues is the choice of management modalities in bladder diverticulum. Modern equipment and development of minimally invasive techniques have expanded the variability of curative approaches, which is especially important for children with comorbidities.
Purpose. To optimize surgical treatment of children with bladder diverticulum using minimally invasive surgical interventions, to reduce the rate of intraoperative and postoperative complications as well as to improve endovideosurgical access for the successful implementation of reconstructive interventions based on the authors' analysis of their own material on treating children with bladder diverticula.
Material and methods. Five patients of different age having a bladder diverticulum with various anatomical features and with comorbidities were treated at the surgical department of St. Luka Clinical Research Specialized Center for Children (Moscow, Russia) in 2021–2022. The researchers could find the principle for selecting a proper surgical modality after they had assessed positive and negative aspects of each type of surgical access.
Results. While choosing the type of surgical access in the discussed patients, the authors took into account anatomical features, concomitant pathologies, findings of instrumental diagnostics. As a result, all patients had good outcomes. The authors demonstrated a successful application of endovideosurgical techniques in the management of patients with congenital bladder diverticula after they had analyzed their own clinical material. They also described effective techniques for reconstructing ureterovesical anastomosis area with consideration of its place in relation to the diverticulum.
Conclusion. The pneumovesicoscopic access for congenital bladder diverticulum removal is the most rational one, as it allows to accurately restore the relationship of anatomical structures.
About the authors
R. Yu. Valiev
St. Luka Clinical Research Specialized Center for Children
Author for correspondence.
Email: rudicov-rudic89@mail.ru
ORCID iD: 0000-0003-1805-9169
Revaz Yu. Valiev, pediatric surgeon
119620, Moscow
РоссияA. A. Oganisyan
St. Luka Clinical Research Specialized Center for Children
Email: fake@neicon.ru
ORCID iD: 0000-0002-5495-4315
119620, Moscow
РоссияA. S. Vrublevskij
St. Luka Clinical Research Specialized Center for Children
Email: fake@neicon.ru
ORCID iD: 0000-0001-8550-8636
119620, Moscow
РоссияYa. A. Galkina
St. Luka Clinical Research Specialized Center for Children
Email: fake@neicon.ru
119620, Moscow
РоссияI. S. Ahmetzhanov
St. Luka Clinical Research Specialized Center for Children
Email: fake@neicon.ru
ORCID iD: 0000-0003-2517-7446
119620, Moscow
РоссияS. G. Vrublevskij
St. Luka Clinical Research Specialized Center for Children;Pirogov Russian National Research Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-9400-7673
119620, Moscow
117997, Moscow
РоссияE. N. Vrublevskaya
St. Luka Clinical Research Specialized Center for Children;Pirogov Russian National Research Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-7312-5945
119620, Moscow
117997, Moscow
РоссияReferences
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