Laparoscopic nephropexy with polymer clips

JSLS. Jan-Mar 2014;18(1):116-9. doi: 10.4293/108680813X13693422519235.

Abstract

Background and objectives: We present our initial experience and long-term results with transperitoneal laparoscopic nephropexy with nonabsorbable polymer clips.

Methods: Seven patients aged 34 to 47 years previously diagnosed with mobile kidney presented with chronic pain refractory to analgesics and underwent a transperitoneal laparoscopic nephropexy procedure with nonabsorbable polymer clips by fixing the perirenal tissue to the transversus abdominis fascia and triangular ligament.

Results: Mean operation time was 20 minutes. All patients were discharged after 24 hours. Follow-up intravenous pyelogram (IVP) at 60 and 150 days showed the right kidneys in a more cephalad position, and showed pelvicaliceal dilatations and that the ureteral kinks seemed to be resolved. On days 15, 60, 90, and 150 of the first- and second-year follow-ups, severity of pain was 1 of 10 on the visual analog scale.

Conclusion: We believe that the technique of transperitoneal laparascopic nephropexy with nonabsorbable polymer clips on patients with symptomatic mobile kidney is safe and easy to perform and shows successful long-term results.

MeSH terms

  • Adult
  • Equipment Design
  • Fasciotomy
  • Female
  • Follow-Up Studies
  • Humans
  • Kidney / surgery*
  • Kidney Diseases / surgery*
  • Laparoscopy / methods*
  • Middle Aged
  • Peritoneum
  • Polymers*
  • Retrospective Studies
  • Surgical Instruments*
  • Suture Techniques / instrumentation*
  • Treatment Outcome

Substances

  • Polymers