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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 9 No. 1-2 (2018)

Role of USG and diuretic renogram in evaluation of outcome in children after Anderson-Hynes dismembered pyeloplasty for unilateral PUJ obstruction

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2018
CONTENTSVolume 09Number 1 & 2January - July 2018
Editorial
Surgical care in birth defects
Tahmina Banu
01
Review Articles
Operative complications of urogenital tract during repair of anorectal malformation (ARM) in boys: A review
Md Samiul Hasan, Ashrarur Rahman
44
Original Articles
Role of USG and diuretic renogram in evaluation of outcome in children after Anderson-Hynes dismembered pyeloplasty for unilateral PUJ obstruction
Ipsita Biswas, Abhi Kumar Chakraborty, Ayub Ali, Gajendra Nath Mahato
03
Evaluation of testis sparing surgery in paediatric testicular tumor
Partha Sarathy Majumder, Anuradha Karmaker, Syed Abdul Adil, Ashfaque Nabi, Jaglul Gaffer Khan, Kaniz Hasina, Abdul Hanif Tablu
08
Outcome of posterior versus anterior sagittal ano-rectoplasty in patients of anorectal malformation (ARM) with vestibular fistula
Ayesha Sadia, Md Khurshid Alam Sarwar, Tanzil Farhad, Tanvir Kabir Chowdhury
13
Laparoscopic assisted transanal pull through and Duhamel pull through for the treatment of short segment Hirschsprung’s disease: A comparative study of outcome
Shah Md Ahsan Shahid, Md Nowshad Ali, Khondokar Seheli Nasrin, Shantona Rani Paul, Md Zamil Hossain
21
Abdominal trauma in children: Experience from north-west region of Bangladesh
Md Zamil Hossain, Md Nowshad Ali, Amar Kumar Saha, S M Ahsan Shahid, Shantona Rani Paul
28
Inguinal herniotomy in children with and without peri-operative chemoprophylaxis
Md Mizanur Rahman, Shahnoor Islam, Md Moinul Huque
33
Outcome of circumcision in children with or without antibiotics in a tertiary Hospital
Supratim Howlader, Khandker Md Raihan Hossain, Saiful Ahmed, Afruzul Alam, Md Asif Iqbal, Mahmudul Hasan, Ainun Ahmed, Sahadat Hossain
39
Case Reports
Benign Phyllodes tumor in an 11-year-old premenarchal girl
Shahnoor Islam, AKM Amirul Morshed, A H M Abdul Hai, Tania Akter
50
Razor blade ingestion in an infant: A case report
Nazmul Islam, Refoyez Mahmud, Md Samiul Hasan, Ashrarur Rahman
53
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Ipsita BiswasAssociate Professor, Department of Paediatric Urology, Bangladesh Shishu Hospital and Institute, Dhaka
  • Abhi Kumar ChakrabortyAssociate Professor, Department of Paediatric Surgery, Shaheed Suhrawardy Medical College. Dhaka
  • Ayub AliAssociate Professor, Department of Paediatric Surgery, Shaheed Suhrawardy Medical College. Dhaka
  • Gajendra Nath MahatoAssistant Professor, Department of Paediatric Surgery, Shaheed Suhrawardy Medical College. Dhaka

Keywords

PUJ obstruction Pyeloplasty APD CT Split renal function

Abstract

Introduction: Pelvi-ureteric junction (PUJ) obstruction is one of the most common causes of Hydronephrosis in paediatric population. Anderson Hynes dismembered pyeloplasty is the standard surgical treatment of PUJ obstruction. Ultrasonogram (USG) and isotope renogram are widely used to assess the success of pyeloplasty. Changes in the anteroposterior diameter (APD) of renal pelvis, renal cortical thickness (CT) in USG and split renal function (SRF) in DTPA renogram can determine the postoperative outcome following pyeloplasty. Aim of the study: The aim of this study was to see the changes in APD, CT and split renal function after pyeloplasty. Materials and Methods: A quasi experimental study was done among children with unilateral PUJ obstruction who underwent open Anderson-Hynes dismembered pyeloplasty from January 2020 to December 2021 at Bangladesh Shishu Hospital and Institute. All patients were evaluated with ultrasonography at 6 months and DTPA after 1 year of operation. Changes AP diameter of renal pelvis, renal parenchymal thickness and SRF were recorded to assess the prognosis. Increase of SRF, more than 5% on the obstructed side compared with preoperative result was regarded as significant improvement. A change in SRF of within 5% of the preoperative level was defined as stable renal function and a decrease of SRF >5% of the preoperative level was considered as deteriorating renal function. Results: In the present study, we enrolled 30 patients. Mean age of the patients was 25.80 months. The mean APD was 44.03 mm preoperatively and 31.03 mm after 6 months of pyeloplasty. The mean CT was 3.24 mm preoperatively and 6 months after operation it was 4.77 mm. The comparison of mean changes of APD and CT revealed significant. Postoperative renal SRF increased 6.04% (± 7.39%) than preoperative SRF value which was statistically significant. Conclusion: Changes of renal APD (Anteroposterior diameter) and CT (cortical thickness) and Split renal function occur after pyeloplasty. So USG and DTPA can be used to assess the outcome of pyeloplasty in children with unilateral PUJ obstruction.

Journal of Paediatric Surgeons of Bangladesh (2018) Vol. 9 (1 & 2): 3–7

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