Dallah Al-Nakheel Hospital in Riyadh was able to perform a successful and accurate laparoscopic surgery related to separating the ureter from the bladder, removing ureteral stenosis, performing ureter plastic surgery, and then re-implanting the ureter into the bladder for a six-year-old child.
The details of the child’s condition are that he was suffering from severe infections in the urine and a high temperature, with frequent colic on the left side of the abdomen. The kidney and ureter pelvis were greatly enlarged to a very high degree, and this matter negatively affected the kidney function and led to the loss of its function to 20%.
In this regard, Professor Hamdan bin Hammad Al-Hazmi, a pediatric urology consultant at Dallah Al-Nakheel Hospital, explained, saying: “After completing the diagnosis and examining the child’s condition, a treatment plan was immediately drawn up. urine from the kidney in order to reduce inflammation and reduce pressure on the renal pelvis and ureter and help improve kidney function. A temporary catheter was placed in the kidney through the skin, as it was placed by an interventional radiologist at Dallah Hospital, Dr. Saleh Al-Samir, and the second stage consisted of performing a major surgery.
Professor Hamdan bin Hammad Al-Hazmi indicated that after placing the temporary catheter, the sick child's health improved remarkably, and recurring infections stopped – at the same time – and pressure on the kidney decreased and its function also improved, rising from 20% to 34%, adding that after that The transition to the second stage, which is the main surgical intervention, was carried out laparoscopically.
Professor Al-Hazmi explained that the surgery was done through the use of a surgical endoscope, through 3 holes, the first through the navel with a size of 5 mm, while the other two holes were made on the abdomen with a size of 3 mm, after which the surgical intervention was performed, which is to separate the ureters from the bladder and remove the stricture. With plastic surgery at the last site of the dilated ureter. After that, the ureter was replanted in the bladder sufficiently to prevent reflux, or any obstruction after this operation, and an internal catheter was placed that will be removed two months after its placement, and at the same time the temporary catheter was removed through the skin in the kidney, confirming After the surgical intervention, the child's condition improved and he left the hospital after the second day after the operation.
It is noteworthy that the Dallah Health Group includes six leading health care facilities, serving more than 1.5 million patients annually, throughout the Kingdom, through more than 900 beds and 500 outpatient clinics, and the group employs more than 3 thousand employees, including about a thousand expert doctors. In an effort to provide the highest standards of health care in the Kingdom of Saudi Arabia.
Okaz (Riyadh)