Ionescu G O, Tuleaşcă I, Gavriliţă N, Aprodu G
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1980 Mar-Apr;29(2):101-8.
On the basis of their personal experience acquired in the total of 29 modelling interventions in the ureters of 16 children, the authors discuss the value, the technique and the indications of modelling longitudinal ureteroplasties--or the Hendren operation. This intervention was performed in 8 patients for secondary megaureter, and in another 8 patients it was performed for primary megaureters. When it was necessary modelling was performed simultaneously on both sides. In patients without previous derivations systematic use was made of ureter splintering after modelling--when it was re-implanted. Some technical details are discussed. The authors stress the necessity to know exactly before the intervention, the true functional value of the kidney the ureter of which will undergo modelling. Otherwise inutile modelling interventions will be performed (one case). In 3 of the patients, at 4--6 months after surgery, modelling of the upper segment of the ureter was necessary, together with pyeloplastia. The series analysed confirmed the value of this technique aimed at direct correction of the large dilatations of the ureters.
基于在16名儿童输尿管的29次整形干预中获得的个人经验，作者讨论了纵向输尿管整形术（即亨德伦手术）的价值、技术和适应症。该手术在8例继发巨输尿管患者和另外8例原发性巨输尿管患者中进行。必要时双侧同时进行整形。在没有先前引流的患者中，整形后再植入时系统地采用输尿管分裂术。讨论了一些技术细节。作者强调在干预前必须准确了解其输尿管将接受整形的肾脏的真正功能价值。否则将进行无效的整形干预（1例）。3例患者在术后4至6个月，需要对输尿管上段进行整形，并同时进行肾盂成形术。所分析的病例系列证实了这种旨在直接矫正输尿管大扩张的技术的价值。
