The Lich-Gregoir Antireflux Plasty: Experiences with 371 Children

Abstract
The Lich-Gregoir antireflux procedure is a simple and safe method for the treatment of primary reflux of all grades if the ureter is not grossly dilated on the excretory urogram. Reflux was cured in 97.7% of 429 ureters in 371 children. A stenosis of the terminal ureter requiring reimplantation occurred in 0.5%. The over-all rate of reinterventions was 3.7%. This low complication rate makes surgical correction of reflux advisable if urinary tract infection and primary reflux cannot be eradicated by continuous antimicrobial therapy within 6 mo.