Most Advanced Laparoscopic Pyeloplasty Surgery in India - PowerPoint PPT Presentation

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Most Advanced Laparoscopic Pyeloplasty Surgery in India

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Pyeloplasty is common surgery in ladies to relieve urinary blockage within the space called the uretero-pelvic junction (UPJ), wherever the pelvis and ureter tube meet. commonly urine forms within the kidney and flows into the area of the pelvis. Basically, pyeloplasty is that the surgical reconstruction or revision of the renal pelvis (kidney) to empty and decompress the kidney. many procedures are developed over the years to treat this condition however pyeloplasty provides the best probability of cure. The proof so far suggests that laparoscopic pyeloplasty has a good higher success rate than traditional surgery. – PowerPoint PPT presentation

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Title: Most Advanced Laparoscopic Pyeloplasty Surgery in India


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PYELOPLASTY Pyeloplasty is common surgery in
women to relieve urinary blockage in the area
known as the uretero-pelvic junction (UPJ), where
the pelvis and ureter tube meet. Normally urine
forms in the kidney and flows into the area of
the pelvis. Basically, pyeloplasty is the
surgical reconstruction or revision of the renal
pelvis (kidney) to drain and decompress the
kidney. Several procedures have been developed
over the years to treat this condition but
pyeloplasty gives the highest chance of cure. The
evidence to date suggests that laparoscopic
pyeloplasty has an even higher success rate than
traditional surgery.
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Types of Pyeloplasty Open Pyeloplasty
Pyeloplasty is an operation to repair a block in
the ureter as it exits the kidney. It can be
performed using either an open surgical approach
or keyhole (laparoscopic/robotic) surgery, and
the type of surgery will depend on a number of
factors, that will be discussed with you. There
are other options, such as endopyelotomy, which
may be considered in some circumstances. The
specific reason you need an open pyeloplasty will
be discussed with you. Laparoscopic Pyeloplasty
 Laparoscopic Pyeloplasty provides patients with
a safe and effective way to perform
reconstructive surgery of a narrowing or scarring
where the ureter (the tube that drains urine from
the kidney to the bladder) attaches to the kidney
through a minimally invasive procedure. This
operation is used to correct a blockage or
narrowing of the ureter where it leaves the
kidney. This abnormality is called a
ureteropelvic junction (UPJ) obstruction which
results in poor and sluggish drainage of urine
from the kidney. UPJ obstruction can potentially
cause abdominal and flank pain, stones,
infection, high blood pressure and deterioration
of kidney function. 
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Robotic Assisted Pyeloplasty Robotic-assisted
pyeloplasty is performed under general
anaesthetic. This keyhole method uses 3 to 4
small cuts, through which a camera and surgical
instruments can be passed. The camera sends
pictures to a TV screen so the surgeon can see
the kidney and surrounding tissue.  It is very
similar to laparoscopic surgery, the difference
is that the surgeon controls the instruments from
a console away from the operating table. These
instruments are easier to move around than
standard laparoscopic surgery. The diagram below
shows an operating theatre set up with the
robotic equipment.
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Percutaneous Antegrade Endopyelotomy  In this an
incision is made directly over the region of
upper pole of kidney. The nephroscope is inserted
through the incision upto the renal pelvis and
narrowed area. Micro instruments are then guided
through the scope with the help of a camera and
the narrowed portion is cut. The ureter and the
pelvis are stitched up and a stent is positioned
from the pelvis up to the bladder. The stent is
kept in place for about 4-6 weeks. Faster
recovery due to a small incision and lesser blood
loss is the main advantage of the procedure. 
Retrograde Endopyelotomy  The procedure is same
as above except that instead of a nephroscope, a
ureteroscope is used which is inserted through
the bladder and guided up to the renal pelvis.
The narrowed part is removed and the stent is
place from the bladder to the pelvis. This
procedure can be performed in an outpatient
setting. 
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Why do I need a laparoscopic pyeloplasty ?  Your
surgeon will have explained that your urine is
not draining from the kidney properly because of
a narrowing at the pelviureteric junction (PUJ).
This may be causing you pain. He has chosen this
method of surgery to reduce the length of your
recovery and to allow you to resume a normal life
in a shorter period of time when compared to the
more conventional open method of repairing the
narrowing. 
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FAQ Urology Treatment and Surgery in
India What are the Benefits of getting Urology
Treatment and Surgeyr in India? Hospitals in
India are equipped with the most advanced medical
treatment. They have the most extensive
-diagnostic and imaging facilities including
Asias most advanced technology. Personalized
care and attention is provided with value added
services besides results of world class standard
at a very low cost affordable to all sections of
society.   Which is the Best Hospital in India
for Treatment of Urology ? India has not one but
many better than the best hospitals for Urology
treatment. Mail us your medical report and we
will find the hospital most suitable to treat
your medical condition. Is it safe to get
Urology Cancer Treatment and Surgery in
India? The medical fraternity in India is famed
for excellence, and leads in Urology surgeries.
Thousands of cancer operations are performed in
India each year with maximum success rate, making
the safety obvious.
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