Gil-Vernet antireflux surgery in children’s primary vesicoureteral reflux

• Published in: Pediatric surgery international Vol. 26; no. 10; pp. 981 - 984
• Main Authors: Mirshemirani, Alireza, Khaleghnejad Tabari, Ahmad, Roshanzamir, Fatollah, Shayeghi, Shahnaz
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01.10.2010; Springer Nature B.V
• Subjects: Adolescent; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Infant; Male; Medicine; Medicine & Public Health; Original Article; Pediatric Surgery; Pediatrics; Retrospective Studies; Severity of Illness Index; Surgery; Suture Techniques; Treatment Outcome; Urodynamics; Urography; Urologic Surgical Procedures - methods; Vesico-Ureteral Reflux - diagnosis; Vesico-Ureteral Reflux - physiopathology; Vesico-Ureteral Reflux - surgery; Gil-Vernet; Children; Vesicoureteral reflux; Antireflux surgery
• ISSN: 0179-0358; 1437-9813
• DOI: 10.1007/s00383-010-2651-0

Purpose The assessment of the results of Gil-Vernet antireflux surgery in children with primary vesicoureteral reflux. Materials and methods In a descriptive retrospective study, 72 patients with vesicoureteral reflux (VUR) and 104 refluxing units underwent Gil-Vernet antireflux surgery in Mofid children’s hospital from Dec 2000 to Nov 2005. The study group was selected from among the patients with VUR who had been operated in our center. Data were collected from the medical records of the patients in the archive of the hospital and analyzed for gender, age, method of diagnosis, side of involvement, grading types, usage of catheter and stent, operating time, hospital stay, reflux down grading, operative success rate, recurrence and operative complication. Results Among 72 patients, 47 (65%) were females and 25 (35%) were males with a mean age of 4.35 ± 2.96 years (range 1–13 years). 32 patients had bilateral and 40 had unilateral reflux, and 76% were in grades III and IV. Mean operative time was 55 ± 13 min, median hospital stay was 2 ± 0.9 days and mean follow-up period was 48 ± 9 months. Reflux was improved completely in 100 (96.15%) refluxing units, and down-graded in 4 (3.84%) units. Treatment was performed medically in 2 and surgically in 2 refluxing units, and all were improved successfully. There were no complications post-operatively. Conclusion Gil-Vernet antireflux technique is a useful method, and it has many advantages such as simplicity, shorter operative time, lower complication rate and high success rate.