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HISTORY OF DARTOS POUCH AND ANDERSON HYNES TECHNIQUE
Ricardo GONZALES
Auf der Bult Kinder-und Jugendkrankenhaus, Hannover, Universitätsmedizin Berlin Charité, Berlin, GERMANY
ABSTRACT
"Those who cannot remember the past are condemned to repeat it" (George Santayana)
Working as a journal article reviewer, it is clear to me that many surgeons do not know the historical basis of operations
commonly performed.
A recent example prompted me to revisit the original work of Anderson and Hynes (1949) on uretero-pelvic anastomosis
and to reflect on its influence on the current treatment of uretero-pelvic junction obstruction.
The original technique and figures described initially to repair a retrocaval ureter and subsequently applied to the more
common problem of the UPJO will be presented with emphasis on the V pelvic flap and the spatulation of the ureter.
Another common technique whose origins are often forgotten is the dartos pouch for testicular fixation during
orchidopexy. Although often attributed to Lattimer (1957) it was original described by J. Schoemaker in 1932, a Dutch
surgeon working in The Hague. The original figures and his description of how he developed the idea will be presented.
One reason why important historical information is forgotten is that access to old articles can be burdensome and
expensive. We should urge our journals to provide free access to all issues older than 20 years.