(1) With exact diagnosis and correct surgical technique, the Lich-Grégoir anti-reflux plasty is safe and complications are few--reflux recurrences are rare.
(2) We report on 111 kidney transplants performed at the San Juan Veterans Administration Hospital in 85 of whom urinary continuity was restored with a Politano-Lead-better ureteroneocystostomy, 23 with the Lich-Grégoir operation, and 3 with extravesical urinary, diversions.
(3) As performed by us, it is a modification of the technique of Witzel, Sampson, and Lich.
(4) The frequency of urological complications was lower with the Lich-Gregoire technique (4.1%) which we have currently adopted.
(5) They constituted about 8% of all LICH cases (n = 37) operated upon in our institute (DUSM) during the past 3 years.
(6) The efficiency of the Lich-Gregoir antireflux procedure has to be judged by its results.
(7) VUR occurred in 36% of patients; highest in LICH-1 (79%), intermediate in L-P (22%), and lowest in LICH-2 (9%).
(8) It combined the principles of the Wallace conjoined ureterointestinal conduit with the Lich extravesical ureteroneocystostomy.
(9) She had been a student in Lich primary school, in Unity state, when the war began.
(10) We present our experience in 149 antireflux repair operations with a technique first described by Lich and Gregoir in 1961.
(11) On the other hand, in the late postoperative stage, ureteral stenosis requiring further surgery occurred in 1 ureter in the transitional region to the urinary bladder in 1 patient 2 months after surgery by the Lich-Gregoir method.
(12) The rate of success was all 87 ureters (100%) for the Politano-Leadbetter method and 6 out of 7 ureters (85.7%) for the Lich-Gregoir method.
(13) The mean age of the recipients was 34.6 years (16.8 to 67.6 years) Ureteric reimplantation was initially performed by uretero-ureteric anastomosis (19%), then into the bladder according to the Leadbetter-Politano technique (69%) and subsequently according to the Lich-Gregoire extra-vesical technique (10%).
(14) Other methods were the combined method in 2 patients (three ureters), the Glenn-Anderson method in 1 (2 ureters), the Cohen method in 1 (1 ureter) and the Lich-Gregoir method in 5 patients (7 ureters).
(15) A tabulated comparison between the intravesical procedure (Politano-Leadbetter) and the extravesical procedure (Lich-Grégoir) reveals an overall success rate of 80%.
(16) In a ten years period 186 extravesical antireflux operations (Lich-Gregoir) were performed in 145 children.
(17) Three operated cases of lobar intracerebral hemorrhage (LICH) related to cerebral amyloid angiopathy (CAA) were studied clinicopathologically.
(18) The operative technique used was generally that of Cohen (335 cases), more rarely that of Leadbetter-Politano (118 cases) and very exceptionally that of Lich-Gregoir (7 cases).
(19) Discussion and evaluation of other repair methods are reviewed but, in our opinion the Lich-Gregoir technique, because of its simplicity, should be the method of choice and should be used more by urologists.
(20) An anterior extravesical technique modified from Witzel, Sampson, and Lich was used to reimplant the ureter.