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Annals of Pediatric Surgery
Fig. 3 | Annals of Pediatric Surgery

Fig. 3

From: Feasibility, safety and effectiveness of laparoscopic transperitoneal pyeloplasty in children: Ain Shams University early experience

Fig. 3

Operative steps of laparoscopic transperitoneal dismembered Anderson-Hynes pyeloplasty. A Transmesocolic exposure of UPJ for left sided UPJO. Three polypropylene stay sutures were taken (upper pole, UPJ, lower pole) that emerged from a corresponding points at the anterior abdominal wall. B Opening of the lower pole of the renal pelvis at a dependent site. C Opening and spatulation of the ureter. D The first stitch between the apex of the renal pelvis and the spatulated ureter. E Beginning of the posterior wall anastomosis. F Completion of the posterior wall anastomosis followed by dismembering the UPJ. G Insertion of the double J catheter. H Fashioning of the anterior wall of the uretro-pelvic anastomosis over the double J catheter. I Closure of the remaining renal pelvis edge to edge

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