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Medicina Fluminensis : Medicina Fluminensis, Vol. 50 No. 1, 2014.

Professional paper

Review of the 46-years of vesicoureteric reflux treatment at the department of pediatric surgery and orthopedics of the Clinical hospital centre Rijeka

Harry Nikolić ; Zavod za dječju kirurgiju i ortopediju, KBC Rijeka, Rijeka
Iva Španjol Pandelo ; Zavod za dječju kirurgiju i ortopediju, KBC Rijeka, Rijeka
Danijel Laginja
Nado Bukvić ; Zavod za dječju kirurgiju i ortopediju, KBC Rijeka, Rijeka
Zlatko Tomašić ; Zavod za dječju kirurgiju i ortopediju, KBC Rijeka, Rijeka
Ana Bosak Veršić ; Zavod za dječju kirurgiju i ortopediju, KBC Rijeka, Rijeka

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Abstract

Aim: The aim of this research is to present how the Department of Pediatric Surgery has implemented contemporary and up to date surgical treatment of vesicoureteral reflux (VUR) throughout its 50 years long existence. Methods: During this time period, 632 children were treated for VUR, out of which 69 % were girls. The treatment was surgical, and the operative techniques were almost entirely extravesical. In the last decade, endoscopic sub/intra/ureteral injection of dextranomer and hyaluronic acid has also been performed. Results: A high level of success has been achieved by the operative techniques used for VUR treatment at the Department of Pediatric Surgery. The success rate is, depending on the used technique, between 95.3 % (Bradić- Pasini operative technique) and 97.5 % (Lich- Gregoir operative technique). Total success rate of endoscopic treatment is 81.9 %. Discussion: The surgical treatment of VUR at the Department of Pediatric Surgery has been conducted since its foundation. A high level of success has been achieved by implementation of contemporary operative and endoscopic techniques. The success rate corresponds to that presented in the recent literature. Conclusion: Reflux nephropathy, hypertension and kidney failure as possible complications of VUR are prevented by a quality and competenttreatment of VUR in pediatric population.

Keywords

children; treatment; vesicoureteal reflux

Hrčak ID:

118555

URI

https://hrcak.srce.hr/118555

Publication date:

3.3.2014.

Article data in other languages: croatian

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