Minimal incision laparoscopy-assisted open pyeloplasty (MILAP) incorporates elements of open pyeloplasty (OP) and single incision laparoscopy to improve technical ease and cosmetic outcomes.
Six MILAP procedures were performed using a single transumbilical incision through which the ureteropelvic junction (UPJ) is mobilized with standard laparoscopic instrumentation. The UPJ is brought extracorporeally through a 1-cm flank incision, and a traditional Anderson-Hynes open pyeloplasty is performed. Compared with OP, perioperative outcomes were similar. Follow-up renal scans all showed improvement of obstruction. A 1-cm flank incision is the only obvious scar.
Written by:
Woo JR, Marietti S, Masterson J, Chiang G. Are you the author?
Department of Urology, University of California - San Diego Health System, San Diego, CA, USA; Department of Urology, Rady Children's Hospital, San Diego, CA, USA; Department of Urology, Naval Medical Center, San Diego, CA, USA.
Reference: J Pediatr Urol. 2014 Apr;10(2):391-3.
doi: 10.1016/j.jpurol.2013.07.007
PubMed Abstract
PMID: 23958175
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