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Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Irrigation fluid—water if monopolar diathermy is used, saline if bipolar electrocautery" Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Introduction of bipolar electroresection is reported to allow TUR in saline and to minimize the risk of the obturator reflex, which can predispose to bladder perforation [1]."

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Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "The main disadvantage of retroperitoneoscopy is that it is not possible to isolate the ureter arriving near the bladder as in laparoscopy. This is a problem because if the indication is VUR, you can leave a long ureteral stump with the risk to have a postoperative reflux with UTI and the risk to have a second procedure to remove the stump."