Laparoscopic Nephropexy Using Polyprolene Mesh

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Materials and MethodsLaparoscopic nephropexy was performed in 8 consecutive cases with symptomatic nephroptosis through suturing and fixation of a polyprolene mesh between the posterior surface of the kidney and quadratus lumborum muscle. All patients had symptomatic nephroptosis. Preoperatively, intravenous urography and a split renal scan in supine and upright positions were done for all patients.ResultsThe operation was successfully completed laparoscopically in all cases with a mean operative time of 135 minutes without major perioperative complications. The median blood loss was 60 mL. Hospital stay was 3.2 days (range, 2 to 6 d). Seven cases improved significantly after operation in a mean follow-up of 1.5 years. The success rate of this study is 87.5%.ConclusionsLaparoscopic nephropexy using polyprolene mesh is a minimally invasive, suitable, and clinically established procedure for the treatment of symptomatic nephroptosis with good results in comparison with open surgery.

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