185 Vascular Hitch Procedure for Accessory Lower Pole Vessels

Abstract Introduction The gold standard procedure for pelvi-ureteric junction obstruction has been the Anderson-Hynes dismembered pyeloplasty; involving repositioning of ureter and ureteropelvic anastomosis. However, Hellstroem 'Vascular Hitch Procedure’ dictates superior translocation accessory vessel its fixation to anterior pelvic wall. latter an estimated success rate >90%. Method During 2016-2020, at Leicester Royal Infirmary, 16 operations occurred on paediatric patients with obstruction. pyeloplasty was performed 5 patients, 9 underwent vascular hitch procedure, 2 are currently awaiting operation. All had a pre-operative functional magnetic resonance urography (fMRU) identify localise lower pole vessel. Results mean hospital stay 1.5 days (range=1-2) in comparison 4 (range=3-5) pyeloplasty. follow-up period ranged from 6 months 3 years. Overall, it noted that were asymptomatic, markedly reduced hydronephrosis imaging as well stable renal function MAG renogram scan. Conclusions laparoscopic appears be operation management pelvi-uteric notably lengths.