Most Advanced Laparoscopic Pyeloplasty at World Best Hospitals in India

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Laparoscopic Pyeloplasty in India
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. The patient side cart sits at the
bedside and holds the 4 robotic arms. The console
is an ergonomically designed device that allows
the surgeons movements to be translated into
action utilizing the robotic arms. The robotic
arms utilize EndoWrist instruments that have
more degrees of freedom and precision than the
human wrist.

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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/robot
  ic) surgery, and the type of surgery will depend
  on a number of factors, that 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
  attaches to the kidney through a minimally
  invasive procedure. 
• 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.
• 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. 
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Pyeloplasty Treatment in India

• The original ureter is surgically approached
  below the level of the obstruction and the
  abnormal section is removed. Then the ureter is
  repositioned and reattached to the healthy renal
  pelvic tissue above.
• The surgery can be done from a few different
  angles. In general, the incision will be on your
  child's side. Your surgeon will discuss the
  location of the incision that is most appropriate
  for your child. All the surgical stitches, called
  sutures, will dissolve. Occasionally, one skin
  suture is removed 10 days or so after the
  operation if a tube is inserted.
• Surgeons use different approaches. In some
  cases, no tubes are left in place. In other
  cases, a tube called a "stent" may be left for
  seven to 10 days to drain the ureter, or a kidney
  catheter tube called a nephrostomy may remain for
  10 to 12 days. A small drain made of special soft
  rubber, called a Penrose drain, may be left under
  the incision.

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