Godbole Pediatric Endourology Techniques

1. Auflage 2008
ISBN: 978-1-84628-457-1
Verlag: Springer
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 134 Seiten

This book covers the practical aspects of the various endourological procedures in children. This innovative approach enables the surgeon to read about the procedure beforehand and helpful tips and tricks to make the procedure easier and safer.

Mr. Prasad P. Godbole, Senior Fellow in Pediatric Urology, Department of pediatric urology, Great Ormond Street Hospital for Children, London, UK. Great Ormond Street is a world-renowned center for pediatric surgery and pediatric urology. For the last 25 years, it has been the only center in the United Kingdom and Europe to have a dedicated pediatric urology department as opposed to pediatric Surgeons doing some pediatric urology. The number of publications, research projects are testament to this. All the authors have established their niche, and further subspecialized, in the various aspects of pediatric urology, thus giving them a command over their area of expertise. Mr Patrick Duffy is the pioneer of pediatric minimally invasive stone management in the UK, getting referrals from most centers. Mr Imran Mushtaq has gained a reputation as an excellent pediatric laparoscopic urologist and will shortly start using the deVinci robot for laparoscopic urology. Mr Azad Najmaldin (from Leeds) is the pioneer of laparoscopy in children in the UK. All the authors, being dedicated pediatric urologists, have a high turnover of cases.

Autoren/Hrsg.

Godbole, Prasad P.

Inhaltsverzeichnis

1;Foreword;5
2;Preface;7
3;Contents;9
3.1;Section A: Laparoscopy;9
3.2;Section B: Endoscopy;10
3.3;Section C: Miscellaneous;10
4;Contributors;11
5;Section A Laparoscopy;14
5.1;1 Laparoscopy in Children: Basic Principles;15
5.1.1;Anesthesia;15
5.1.2;Positioning;15
5.1.3;Access;15
5.1.4;Preparation;15
5.1.5;Approach;16
5.1.6;Visualization;21
5.1.7;Instrumentation;21
5.1.8;Tissue Retrieval;21
5.1.9;Wound closure;21
5.2;2 Nephrectomy and Heminephrectomy;25
5.2.1;Indications and Contraindications Approach;25
5.2.2;Preoperative Workup;26
5.2.3;Specific Instrumentation;26
5.2.4;Anesthesia;27
5.2.5;Operative Technique;27
5.2.6;Postoperative Management;29
5.2.7;Complications;29
5.3;3 Laparoscopic Pyeloplasty;31
5.3.1;Indications;31
5.3.2;Investigations;32
5.3.3;Instrumentation;32
5.3.4;Operative Technique;32
5.3.5;Postoperative Management;34
5.3.6;Complications;34
5.3.7;Conclusions;34
5.4;4 Transposition of Lower Pole Vessels: “The Vascular Hitch”;36
5.4.1;Instrumentation;36
5.4.2;Operative Technique Indications and Contraindications;36
5.4.3;Preoperative Investigations;36
5.4.4;Postoperative Care;40
5.4.5;Complications;40
5.4.6;Authors’ Experience;40
5.4.7;Conclusions;40
5.5;5 Laparoscopic Adrenalectomy;43
5.5.1;Indications;43
5.5.2;Anatomy;43
5.5.3;Contraindications;44
5.5.4;Preoperative Work Up;44
5.5.5;Specific Instrumentation;44
5.5.6;Anesthesia;45
5.5.7;Operative Technique;45
5.5.8;Postoperative Management;46
5.5.9;Complications;46
5.5.10;Author’s Experience;46
5.6;6 Transvesicoscopic Cohen Ureteric Reimplantation for Vesico-Ureteral Reflux in Children;51
5.6.1;Preoperative Investigations;51
5.6.2;Indications and Contraindications;51
5.6.3;Specific Instrumentation;52
5.6.4;Operative Technique;52
5.6.5;Postoperative Management;56
5.6.6;Results;56
5.6.7;Author Remarks;57
5.6.8;Conclusion;57
5.7;7 Impalpable Testis;61
5.7.1;Preoperative Preparation;61
5.7.2;Patient Position;61
5.7.3;Port Positioning;61
5.7.4;Operative Technique;61
5.7.5;Indications and Contraindications;61
5.7.6;Closure;65
5.7.7;Complications;65
5.7.8;Video Clips;65
5.8;8 Varicocelectomy (I);66
5.8.1;Preoperative Patient Preparation;66
5.8.2;Specific Instrumentation;66
5.8.3;Schematic Diagram;66
5.8.4;Indications and Contraindications;66
5.8.5;Preoperative Investigation;66
5.8.6;Operative Technique;67
5.8.7;Postoperative Management;67
5.8.8;Complications;67
5.8.9;Author’s Remarks;67
5.9;9 Varicocelectomy (II);68
5.9.1;Preoperative Investigations;68
5.9.2;Operative Technique;68
5.9.3;Indications and Contraindications;68
5.9.4;Postoperative Management;69
5.9.5;Complications;69
5.9.6;Author’s Remarks;69
5.10;10 Intersex and Laparoscopy;71
5.10.1;Indications;71
5.10.2;Preoperative Investigations;72
5.10.3;Operative Technique;72
5.10.4;Complications;74
5.10.5;Conclusion;74
6;Section B Endoscopy;77
6.1;11 General Principles of Cystourethroscopy;79
6.1.1;Indications and Contraindications;79
6.1.2;Preoperative Investigation;82
6.1.3;Preoperative Patient Preparation;82
6.1.4;Specific Instrumentation;82
6.1.5;Operative Technique;83
6.1.6;Postoperative Management;88
6.1.7;Complications;88
6.1.8;Author’s Remarks;88
6.2;12 STING for Vesicoureteral Reflux;89
6.2.1;Indications and Contraindications;89
6.2.2;Preoperative Investigation;90
6.2.3;Preoperative Patient Preparation;90
6.2.4;Specific Instrumentation;90
6.2.5;Operative Technique;92
6.2.6;Postoperative Management;94
6.2.7;Complications;94
6.2.8;Author’s Remarks;95
6.3;13 Bladder Outlet Injection for Urinary Incontinence;97
6.3.1;Indications and Contraindications;97
6.3.2;Preoperative Investigation;97
6.3.3;Preoperative Patient Preparation;98
6.3.4;Specific Instrumentation;98
6.3.5;Operative Technique;100
6.3.6;Postoperative Management;102
6.3.7;Complications;102
6.3.8;Author’s Remarks;103
6.4;14 Posterior Urethral Valves;104
6.4.1;Contraindications;104
6.4.2;Preoperative Investigation;105
6.4.3;Specific Instrumentation;105
6.4.4;Operative Technique;105
6.4.5;Complications;105
6.4.6;Conclusions;106
6.5;15 Endoscopic Management of Ureterocele and Syringocele;107
6.5.1;Preoperative Investigation and Preparation;107
6.5.2;Indications and Contraindications;107
6.5.3;Specific Instrumentation;108
6.5.4;Operative Technique;108
6.5.5;Postoperative Management;110
6.5.6;Complications;110
6.5.7;Author’s Remarks;110
6.6;16 Percutaneous Nephrolithotomy and Laparoscopic Management of Urinary Tract Calculi;113
6.6.1;Percutaneous Nephrolithotomy;114
6.6.2;Specific Instrumentation;114
6.6.3;Laparoscopy;116
6.6.4;Preoperative Investigations;117
6.7;17 Ureteroscopy in Children;118
6.7.1;Indications and Contraindications;118
6.7.2;Preoperative Investigation;118
6.7.3;Specific Instrumentation;119
6.7.4;Operative Technique;119
6.7.5;Postoperative Management;120
6.7.6;Complications;120
6.7.7;Conclusions;120
6.8;18 Minimally Invasive Management of Calculi in Augmented/Neuropathic Bladders;122
6.8.1;Preoperative Patient Preparation;122
6.8.2;Specific Instrumentation;122
6.8.3;Operative Technique Preoperative Investigation;122
6.8.4;Operative Management;123
6.8.5;Complications;123
6.8.6;Authors’ Remarks;123
7;Section C Miscellaneous;125
7.1;19 Laparoscopic Assisted ACE Procedure for Fecal Incontinence in Children (I);127
7.1.1;Indications and Contraindications;127
7.1.2;Preoperative Investigation;127
7.1.3;Preoperative Patient Preparation;128
7.1.4;Operative Technique;128
7.1.5;Postoperative Management;129
7.1.6;Complications;129
7.1.7;Conclusion;130
7.1.8;References;130
7.2;20 Laparoscopic Assisted ACE Procedure for Fecal Incontinence in Children (II);132
7.2.1;Patient Selection;132
7.2.2;Stoma/Caecostomy Tube or Caecostomy Button?;132
7.2.3;Indications and Contraindications;132
7.2.4;Preoperative Preparation;133
7.2.5;Specific Instrumentation;133
7.2.6;Operative Technique;133
7.2.7;Postoperative Management;134
7.2.8;Complications;134
7.2.9;Conclusions;134
7.3;21 Robotics and Pediatric Urology: Robotically Assisted Pyeloplasty in Children;137
7.3.1;Indications;137
7.3.2;Preoperative Investigation;137
7.3.3;Preoperative Patient Preparation;138
7.3.4;Specific instrumentation;138
7.3.5;Operative Techniques;139
7.3.6;Postoperative Management;140
7.3.7;Complications;140
7.3.8;Author’s Comment;141
8;Index;143