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KMID : 0358319950360050489
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Korean Journal of Urology
1995 Volume.36 No. 5 p.489 ~ p.495
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The Safety of Pyeloplasty in Pemature and Mture Nonates
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Abstract
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The widespread use of antenatal ultrasonography has resulted in an increasing number of newborns being diagnosed with hydronephrosis. In general, the potential of recovery in an obstructed kidney detected by maternal antenatal ultrasonography
cannot be
predicted by the currently available diagnostic means. Thus the urgency, safety and benifits of performing pyeloplaasty in neonates currently are being questioned. To evaluate the anesthesiologic risk and the surgical morbidity of pyeloplasty in
premature and mature neonates with hydronephrosis requiring surgical correction, the premature and mature neonates who underwent surgical correction were classified into 3 groups. first two groups are the infants under and beyond 1 month of age
who
underwent an operation without preliminary percutaneous nephrostomy and the third group is composed of the infants who underwent corrective surgery one month after preliminary percutanceous nephrostomy hich was performed during neonatal period.
There
was no remarkable difference in anesthetic time, operation time, duration of postoperative hospital day and surgical complication among groups. The surgical results in all except 1 case showed the definite morphological and functional improvement
of
kidney. Pyeloplasty in premature and mature neonates is a safe and successful procedure for preservation of renal function as the procedure performed in older age group.
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