DOI: 10.36347/sasjs.2024.v10i06.005

Pages: 662-665

The Pelviureteric- junction obstruction (PUJO) is the commonest cause of hydronephrosis in children. Dismembered pyeloplasty is the gold standard procedure for PUJO. Dorsal transverse lumbotomy approach is our preferred approach to get access to Pelviureteric junction. This is a retrospective study of last 10 years of one Hundred and twenty three cases. All the patients were operated via dorsal lumbotomy approach. Pre-operative Investigations hemogram, Ultra sonography and a preoperative diuretic renal scintigraphy with diethyl tri-amino penta acetic acid (DTPA) / Ethylene dicysteine (EC.) and Dimercaptosuccinic acid (DMSA) was performed in every patient to assess the differential function and changes in renogram curve. Indication for pyeloplasty was PUJO with obstructed renogram with non-achievement or delayed excretion of Tracer (T ½). Patient were operated under General anaesthesia in prone position and standard Anderson-Hynes Dismembered pyeloplasty via transverse lumbotomy incision. A Total of 123 patients were operated with the median age of patients was 30 months; the average antero- posterior diameter of the renal pelvis was 24 mm. The Average time for surgery was 99 minutes, The Average days of admission were 4. Six patients had postoperative leak which were managed conservatively. Nine patients required redo surgery.