Appendicovesicostomy (Mitrofanoff procedure) in children : Long-term follow-up and specific complications
Copyright © 2018. Published by Elsevier Masson SAS..
OBJECTIVE: In children, intermittent catheterization by appendicovesicostomy according to Mitrofanoff is an interesting alternative to the urethral approach. Objective of the study was to evaluate the rate of appendicovesicostomy's specific complications.
METHOD: From 1997 to 2017, data on children treated and followed for an appendicovesicostomy in an academic institution were collected retrospectively. Rates of surgical complications specifically encountered on appendicovesicostomy, time of onset, frequency, and necessity of surgical reinterventions have been reported.
RESULTS: Thirty-four patients were operated on and followed for a median of 6.2 years [0.3-24]. Fifty percent had a complication, occurring after a median of 8 months [2-90], and 38% required at least one surgical revision. If complication occurred, adjustment of medical treatment and intermittent catheterization was effective in 12% of patients, endoscopic or over-fascial surgery was necessary in 17% of cases, and under-fascial revision in 21% of cases. Median time to complication was 4 months [1-90] after creation or revision of appendicovesicostomy. Thirty-height percent of difficult channel catheterization were reported, of which 46% were over or under-fascial stenosis. Inaugural urinary incontinence was 18%, and only 9% if using the appendix. At the end, 97% of appendicovesicostomy were continent.
CONCLUSIONS: Appendicovesicostomy is a high risk of complications and postoperative revisions surgery, in order to have a functional continent channel.
LEVEL OF EVIDENCE: 4.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
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| Enthalten in: |
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie - 28(2018), 12 vom: 15. Okt., Seite 575-581 |
| Sprache: |
Französisch |
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| Weiterer Titel: |
Dérivations urinaires continentes trans-conduit selon Mitrofanoff chez l’enfant : suivi à long terme et complications spécifiques |
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| Beteiligte Personen: |
Lefèvre, M [VerfasserIn] |
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| Links: |
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| Themen: |
Appendicovesicostomy |
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| Anmerkungen: |
Date Completed 28.01.2019 Date Revised 28.01.2019 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.purol.2018.06.009 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM287217302 |
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| 245 | 1 | 0 | |a Appendicovesicostomy (Mitrofanoff procedure) in children |b Long-term follow-up and specific complications |
| 246 | 3 | 3 | |a Dérivations urinaires continentes trans-conduit selon Mitrofanoff chez l’enfant : suivi à long terme et complications spécifiques |
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| 500 | |a Date Revised 28.01.2019 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2018. Published by Elsevier Masson SAS. | ||
| 520 | |a OBJECTIVE: In children, intermittent catheterization by appendicovesicostomy according to Mitrofanoff is an interesting alternative to the urethral approach. Objective of the study was to evaluate the rate of appendicovesicostomy's specific complications | ||
| 520 | |a METHOD: From 1997 to 2017, data on children treated and followed for an appendicovesicostomy in an academic institution were collected retrospectively. Rates of surgical complications specifically encountered on appendicovesicostomy, time of onset, frequency, and necessity of surgical reinterventions have been reported | ||
| 520 | |a RESULTS: Thirty-four patients were operated on and followed for a median of 6.2 years [0.3-24]. Fifty percent had a complication, occurring after a median of 8 months [2-90], and 38% required at least one surgical revision. If complication occurred, adjustment of medical treatment and intermittent catheterization was effective in 12% of patients, endoscopic or over-fascial surgery was necessary in 17% of cases, and under-fascial revision in 21% of cases. Median time to complication was 4 months [1-90] after creation or revision of appendicovesicostomy. Thirty-height percent of difficult channel catheterization were reported, of which 46% were over or under-fascial stenosis. Inaugural urinary incontinence was 18%, and only 9% if using the appendix. At the end, 97% of appendicovesicostomy were continent | ||
| 520 | |a CONCLUSIONS: Appendicovesicostomy is a high risk of complications and postoperative revisions surgery, in order to have a functional continent channel | ||
| 520 | |a LEVEL OF EVIDENCE: 4 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Appendicovesicostomy | |
| 650 | 4 | |a Child | |
| 650 | 4 | |a Cystostomie | |
| 650 | 4 | |a Enfant | |
| 650 | 4 | |a Mitrofanoff | |
| 650 | 4 | |a Résultat thérapeutique | |
| 650 | 4 | |a Treatment outcome | |
| 650 | 4 | |a Urinary diversion | |
| 700 | 1 | |a Faraj, S |e verfasserin |4 aut | |
| 700 | 1 | |a Camby, C |e verfasserin |4 aut | |
| 700 | 1 | |a Guinot, A |e verfasserin |4 aut | |
| 700 | 1 | |a de Napoli Cocci, S |e verfasserin |4 aut | |
| 700 | 1 | |a Leclair, M-D |e verfasserin |4 aut | |
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