LAPAROSCOPIC NEPHROPEXY

Laparoscopic nephropexy was done in 10 women with the diagnosis of a m obile kidney. The indications for laparoscopic nephropexy were confirm ed by (123)iodine-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 abdomi nal wall at a high position according to the desired axis using a poly glactin net, which is stapled to the abdominal wall. Tissue adhesive a lso is applied over the net. All procedures were uneventful. Early pos toperative excretory urography showed the treated kidneys to be in the desired position with free drainage of contrast medium through the ur eteropelvic junction. Postoperative renal scans demonstrated significa nt improvement in all cases. In our opinion, laparoscopic nephropexy r epresents a technique of adequate invasiveness in relation to the dise ase to be treated.