Laparoscopic nephropexy by a polypropylene implant via different techniques: short-term and postponed results of treatment

The authors present the short-term and postponed results of surgical treatment of nephroptosis via laparoscopic access of 55 patients. There were compared 3 ways of fixation of a pathologically floating kidney in phisiological state by a prolene implant: the lower pole of the kidney is fixed to the periosteum of the 12th rib by a nonresolving sutural material (n = 21) and a celostepler (n = 28), the upper pole of the kidney is fixed to the periosteum of the 12th rib by a nonresolving sutural material (n = 6). The early postsurgical period took its normal course identically without complications in all group of patients. The postponed results of nephropexy by 12 months after the surgical operation were estimated as: 51 patients (92,7%) - good, 3 patients (5,5%) - satisfactory, what proves that these methods are effective and consistent. The authors consider the nephropexy by a prolene implant of the lower pole of a kidney to psoases by means of a celostepler via a laparoscopic access to be an alternative surgical operation.