Pneumovesicoscopic Transvesical Ureteric Reimplantation for the Correction of Congenital Lower Ureteric Anomalies in Children: A Regional Arabian Gulf Multicenter Retrospective Experience.

Objective: To report and compare the outcomes of 3 different techniques of pneumovesicoscopic ureteric reimplantation applied in children.

Methods: The study included 178 renal units in 105 patients who underwent pneumovesicoscopic reimplantation between January 2016 and October 2021. Presentation, indication for surgery, surgical technique, operative time, operative details, days of hospitalization and catheterization, and outcome were retrieved from patients' electronic records.

Modified Traction Technique for Intraabdominal Testes With Short Vessels.

Objective: To assess the safety and efficacy of modified testicular traction technique in treatment of intraabdominal and peeping testes with short vessels.

Patients And Methods: In the pediatric surgery unit, Sheikh Khalifa Medical City, Abu Dhabi, UAE, and in the pediatric urology unit, Ibn Sina Hospital, Kuwait, Forty testes in 32 patients were operated using the modification of staged traction laparoscopic-orchiopexy. The modified technique involved intracorporeal placement of suture, gabernacular sparing, no intraabdominal dissection and shorter traction duration as short as 7 days without the need of inguinal incision.

The Effectiveness of Combined Balloon and Bougie Dilatation Technique in Children with Impassable Esophageal Stricture.

Impassable caustic esophageal strictures (CES) can be rendered passable through sophisticated dilatation techniques, hence avoiding the esophageal replacement surgery and its complications. Patients with impassable CES who were presented to our hospital between January 2015 and April 2020 underwent a combined balloon and bougie dilatation. This technique aims at doing an initial partial dilatation of the proximal segment of the stricture, using a balloon catheter to pave the way for the endoscope to be advanced more distally.

Splenectomy with proximal spleno-left portal shunt for extrahepatic portal vein obstruction in children.

Purpose: To report our initial experience with splenectomy and proximal spleno-left portal shunt as an alternative to the standard Rex shunt, when not applicable, in children with Extrahepatic Portal Vein Obstruction (EHPVO).

Methods: Patients from March 2015 till September 2018, with EHPVO not suitable for Rex shunt or whose caregivers refused to consent for Internal Jugular Vein (IJV) dissection were assessed and prepared for splenectomy with proximal spleno-left portal shunt. The operative technique includes splenectomy, freeing of the splenic vein from the pancreatic bed till its junction with the inferior mesenteric vein, and then anastomosis with the intrahepatic left portal vein at the Rex recess.

Unsatisfactory testicular position after inguinal orchidopexy: Is there a role for upfront laparoscopy?

: To examine the role of laparoscopy in managing unsatisfactory testicular position after an open inguinal orchidopexy. We hypothesised that testes that were originally peeping, where short vessels represented a difficulty and testes that only reached a high scrotal position under tension, especially after an initial surgery performed with the appropriate expertise, are candidates for initial laparoscopic dissection. : Nineteen boys with an initial open inguinal orchidopexy, with a mean age of 31 months, were considered.

Retrograde endoscopic dilatation for difficult caustic esophageal strictures: Feasibility and effectiveness.

Background: Difficult caustic esophageal strictures may need a more sophisticated dilatation technique before referring for esophageal replacement surgery.

Patients & Method: Retrospective review of caustic esophageal strictures managed at our center between January 2010 and June 2018 was done. Twenty two patients labeled as undilatable strictures were enrolled.