{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T05:42:13Z","timestamp":1740894133946,"version":"3.38.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T00:00:00Z","timestamp":1691798400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> To evaluate the functional and cosmetic outcomes of using the mini-laparotomy technique In Situ pyeloplasty to repair UPJ obstruction in young infants less than 6\u2009months. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods:<\/jats:title><jats:p> Between January 2014 and March 2020, 150 young infants (less than 6\u2009months) diagnosed with unilateral ureteropelvic junction obstruction (UPJO) and treated by mini-laparotomy In Situ pyeloplasty were included in this analysis. Once the UPJ has been identified, it was grasped by an Allis forceps for gentle traction. Two facing transverse incisions were made in the dilated pelvis facing the upper ureter. The transverse ureteric incision was then opened longitudinally. An anastomosis was done between the most dependent part of the lower lip of the pelvis and the apex of ureteric spatulation using 6\/0 polyglactin (Vicryl<jats:sup>\u00ae<\/jats:sup>) sutures in the direction of \u201cout-in-in-out.\u201d Follow-up was scheduled for 1\u2009month and then every 3\u2009months for a year with abdominal ultrasonography. DTPA was done for all patients 1\u2009year after repair. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> The mean age was 3\u2009\u00b1\u20090.5\u2009months, and the mean follow-up was 1.5\u2009\u00b1\u20090.3\u2009years. Our technique was done in all included patients with a functional success of 96% (all patients restored normal function, and no obstruction was reported). Parents were satisfied with the cosmetic appearance of the wound in 91% of cases. Major complications occurred in 4% of cases. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Successful repair of ureteropelvic junction obstruction in young infants can be achieved by using mini-laparotomy In Situ pyeloplasty technique with satisfactory functional and cosmetic outcomes. <\/jats:p><\/jats:sec>","DOI":"10.1177\/03915603231175710","type":"journal-article","created":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T10:44:20Z","timestamp":1691837060000},"page":"702-708","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mini-laparotomy in-situ pyeloplasty for repair of the ureteropelvic junction obstruction: Outcome of 150 cases"],"prefix":"10.1177","volume":"90","author":[{"given":"Hazem","family":"El Moghazy","sequence":"first","affiliation":[{"name":"Department of Urology, Sohag University Hospital, Sohag, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8919-0036","authenticated-orcid":false,"given":"Tarek","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Department of Urology, Sohag University Hospital, Sohag, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Mamdoh","sequence":"additional","affiliation":[{"name":"Department of Urology, Sohag University Hospital, Sohag, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"El Nisr","family":"Rashed","sequence":"additional","affiliation":[{"name":"Department of Urology, Sohag University Hospital, Sohag, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Eissa","sequence":"additional","affiliation":[{"name":"Department of Urology, Cairo University Hospital, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,12]]},"reference":[{"key":"bibr1-03915603231175710","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35898-6"},{"key":"bibr2-03915603231175710","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2007.07032.x"},{"key":"bibr3-03915603231175710","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2016.08.027"},{"key":"bibr4-03915603231175710","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08682.x"},{"key":"bibr5-03915603231175710","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(99)80345-8"},{"key":"bibr6-03915603231175710","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2014.10.009"},{"issue":"2","key":"bibr7-03915603231175710","first-page":"5099","volume":"17","author":"Singh I","year":"2010","journal-title":"Can J 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