Various reconstructive procedures
can be done without large abdominal incisions
by using laparoscopic techniques. The
most common operation is Laparoscopic
pyeloplasty for UPJ obstruction - a birth
defect in drainage of urine from kidney
to ureter. The laparoscopic operation
has proven itself in achieving same success
as with open surgery and has replaced
open surgery completely (in places where
necessary skill is lacking, open surgery
is still being done.)
Less common reconstructive operations
are ureteric reimplantation of ureter
and Boari flap reconstruction of lower
ureteric loss due to disease or injury.
Repair of vesicovaginal fistula
is done increasingly by laparoscopic approach.and
offers great success and patient satisfaction.
All these operation are being done regularly,
more so pyeloplasty, at Sir Gangaram
Hospital by Dr.Sharma