Showing papers by "Francis X. Schneck published in 2011"
TL;DR: Laroscopic pyeloplasty for UPJO in the pediatric population is technically challenging; however, with experience, one can expect excellent success rates comparable to open pyelplasty, with minor complications with reasonable operative times.
Abstract: Purpose: To examine our experience of laparoscopic pyeloplasty for the treatment of ureteropelvic junction obstruction (UPJO) in the pediatric population. Methods: From November 2001 to June 2009, 112 patients underwent transperitoneal laparoscopic pyeloplasty for the treatment of symptomatic or radiographic UPJO. Data were collected retrospectively. Patients were followed at regular intervals with imaging and symptom assessment. Failure was defined as inability to complete the intended procedure, persistent flank pain, radiographic evidence of obstruction, or the need for definitive adjunctive procedures. Results: Mean patient age was 9.4 years (0.2–20.5 years), and follow-up was available on all 112 patients with a mean duration of 15.3 months (0.6–84.5 months). There was one open conversion in the series. Mean operative time was 254 minutes (102–525 minutes). There was one minor intraoperative complication reported (0.8%). There were 12 (10.8%) postoperative complications; most were relatively...
25 citations
TL;DR: I do not believe this paper, or any other, supports the notion that a population of asymptomatic children with a potentially higher incidence of VUR requires radiologic identification and treatment.
1 citations
01 Jan 2011
TL;DR: Before the advent of laparoscopic exploration for the non-palpable testicle in 1976, management of the undescended testicle consisted of an inguinal exploration with extension into the peritoneum.
Abstract: Approximately 1% of males are diagnosed with cryptorchidism [1] In the majority of cases the undescended testicle is palpable However, as many as 20% of cryptorchid patients will have a non-palpable testis [2] In these cases, the testis might be absent, intra-abdominal, or within the inguinal canal (canalicular) Prior to the advent of laparoscopic exploration for the non-palpable testicle in 1976, management of the undescended testicle consisted of an inguinal exploration with extension into the peritoneum [3] The testicle was either absent (vanishing), removed, positioned scrotally, or in the worst case scenario, not located by the surgeon