Features of surgical treatment of hydronephrosis caused by an accessory vessel

dc.contributor.authorAbdurahimova, V.Y.
dc.contributor.authorImamverdiyev, S.B.
dc.date.accessioned2025-12-07T13:56:21Z
dc.date.available2025-12-07T13:56:21Z
dc.date.issued2025
dc.description.abstractThe study analyzed surgical approaches for treating hydronephrosis in 65 patients (aged 1.5 to 47 years) caused by the presence of accessory (aberrant) renal vessels in the ureteropelvic segment (UPS). These vessels are a common cause of hydronephrosis (18–52%), leading to urodynamic disorders due to dyskinesia and, eventually, scarring and narrowing of the UPS. The authors advocate that open surgery remains the method of choice, especially in young patients, as it allows for clear identification of changes and reliable performance of reconstructive surgery without compromising renal hemodynamics. In contrast, endoscopic methods cannot eliminate the main cause of obstruction. The research confirms that the most reliable method for UPS reconstruction when hydronephrosis is caused by an accessory vessel is antevasal pyelo-pyelic anastomosis. This technique prevents stenosis in the anastomosis zone in both the early and late postoperative periods, unlike ureteropyelostomy, which carries a risk of restenosis and reoperation.
dc.identifier.citationAbdurahimova V.Y. Features of surgical treatment of hydronephrosis caused by an accessory vessel / V.Y. Abdurahimova, S.B. Imamverdiyev // Медичні та біологічні науки: міждисциплінарний аспект: матеріали VI Міжнародної міждисциплінарної науково-практичної конференції до Всесвітнього дня анатомії (15-16 жовтня 2025 р., м. Харків) / за заг. ред. Д. М. Шияна; Приватний вищий навчальний заклад «Харківський міжнародний медичний університет». – Харків: СГ НТМ «Новий курс», 2025. – С. 83-85. DOI: 10.61718/khimu2025
dc.identifier.isbn978-617-7886-88-3
dc.identifier.urihttps://dspace.khimu-library.com.ua/handle/123456789/450
dc.language.isoen
dc.subjecthydronephrosis
dc.subjectaccessory renal vessel
dc.subjectaberrant vessel
dc.subjectureteropelvic segment (UPS)
dc.subjectopen surgery
dc.subjectreconstructive surgery
dc.subjectpyelo-pyelic anastomosis
dc.subjectureteropyelostomy
dc.subjecturodynamics
dc.subjectobstruction
dc.titleFeatures of surgical treatment of hydronephrosis caused by an accessory vessel
dc.typeArticle
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