Laparoscopic nephropexy.

Abstract

Laparoscopic nephropexy was done in 10 women with the diagnosis of a mobile kidney. The indications for laparoscopic nephropexy were confirmed by 123iodine-hippurate renal scan with the patient in the supine and sitting positions, which revealed decreased renal perfusion in all cases. Via a laparoscopic approach, the kidney is fixed to the abdominal wall at a high position according to the desired axis using a polyglactin net, which is stapled to the abdominal wall. Tissue adhesive also is applied over the net. All procedures were uneventful. Early postoperative excretory urography showed the treated kidneys to be in the desired position with free drainage of contrast medium through the ureteropelvic junction. Postoperative renal scans demonstrated significant improvement in all cases. In our opinion, laparoscopic nephropexy represents a technique of adequate invasiveness in relation to the disease to be treated.