Tayyaba Batool, Jamshed Akhtar, Muhammad Ali Sheikh, Syed Raees Taqvi, Naima Zamir, Nasir Saleem, Farhat Mirza.
Childhood nephrectomies for benign renal lesions.
J Surg Pak Jan ;11(4):178-80.

Objective: To conduct an audit of of nephrectomies done in children for benign renal pathology. . Study design: Evidence based study. Place & Duration of study: National Institute of Child Health, Karachi , during the year 2004-2005. Patients & Methods: The record of all the paediatric age group patients undergoing unilateral nephrectomy for benign renal diseases over a 2-year period were reviewed for the underlying diagnosis and indication for nephrectomy. Patients of Wilms` tumor subjected to nephrectomy were excluded. Results: In the study nephrectomy was carried out in a total of 12 patients. There were 8 males and 4 females. The age range was 4 to 12 years. Nephrectomy was performed for renal tuberculosis in 5, pelvi-ureteric junction obstruction (PUJO) in 5, congenital hypoplastic kidney in 1 and one for multicystic dysplastic kidney. All the patients following nephrectomy remained well in the immediate post operative period and thereafter. Conclusion: Late presentation and delay in diagnosis of benign lesions of the kidney remained the main culprit in loosing a vital organ in childhood.

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