[Inferior heminephrectomy in children].

For the recent 15 years 286 children with surgical diseases of double kidney have been under observation in the Clinic of Children Surgery of the Leningrad Pediatric Medical Institute. In 62 of them the inferior major segment of the organ was injured. In 34 cases the loss of the functional capacity of the inferior segment and atrophy of its parenchyma were revealed which served as an indication for inferior heminephrectomy. The vesicouriteral reflux into the main ureter (21 children) or both ureters (3 children) was found to be the most frequent cause of the injury of the inferior segment of the kidney. The subcapsular inferior heminephrectomy in children may be technically fulfilled and does not make problems in the separate blood supply of the segments. It is not expedient to leave a very small accessory segment of the kidney. The inferior heminephrectomy performed after strict indications gives favourable remote results.