Key result
Andersen-Hynes pyeloplasty shows zero perioperative mortality, but ~11% risk of chronic kidney disease.
Why the study?
Experience and outcomes of surgical treatment for congenital hydronephrosis in children require clinical and therapeutic evaluation.
Observational (n=35)
No
The Andersen-Hynes procedure for congenital hydronephrosis in children demonstrated a favorable safety profile with no immediate postoperative complications or mortality in this cohort.
Case report data indicate short-term safety of Andersen-Hynes pyeloplasty; leaves open long-term CKD risk and generalizability.
The present study analyses the experience of the Pediatric Urology Clinic of the National Scientific-Practical Center of Pediatric Surgery "Acad. Natalia Gheorghiu" during the years 2013-2022. During this period, 35 children aged 0-18 years with congenital hydronephrosis were evaluated. Indications for surgery were acuity, changes recorded on urinary system ultrasonography, intravenous urography, renal scintigraphy, computed tomography with vasography, nuclear magnetic resonance with angiography. The used surgical intervention was resection of the pyelo-ureteral junction and plasty of the pyelo-ureteral junction Andersen-Hynes procedure. No immediate postoperative local (nephrosclerosis) or general complications were recorded. Chronic kidney disease developed in 4 patients. No deaths were recorded.
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Revenco et al. (2024) conducted an observational in congenital hydronephrosis (n=35). Resection of the pyelo-ureteral junction and plasty of the pyelo-ureteral junction Andersen-Hynes procedure was evaluated on Chronic kidney disease. Resection and plasty of the pyelo-ureteral junction (Andersen-Hynes procedure) in children with congenital hydronephrosis resulted in no immediate complications or deaths, with 11.4% developing chronic kidney disease.
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