Results of the modification of antireflux subserosal and submucosal implantation of the ureter into the rectosigmoid urinary reservoir after total cystectomy
| العنوان: | Results of the modification of antireflux subserosal and submucosal implantation of the ureter into the rectosigmoid urinary reservoir after total cystectomy |
|---|---|
| المؤلفون: | Dragoslav Basic, Ivica Stojkovic, Ivan Ignjatovic |
| المصدر: | Srpski Arhiv za Celokupno Lekarstvo, Vol 139, Iss 7-8, Pp 491-495 (2011) Srpski arhiv za celokupno lekarstvo (2011) 139(7-8):491-495 |
| بيانات النشر: | Serbian Medical Society, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | medicine.medical_specialty, Ileus, dilated ureter, medicine.medical_treatment, media_common.quotation_subject, Urology, lcsh:Medicine, Urinary Diversion, Cystectomy, Urination, 03 medical and health sciences, Ureterosigmoidostomy, 0302 clinical medicine, Ureter, Urinary Fistula, Mainz Pouch II, medicine, Humans, 030212 general & internal medicine, Aged, media_common, ureterosigmoidostomy, Aged, 80 and over, business.industry, Urinary Reservoirs, Continent, lcsh:R, Reflux, General Medicine, Middle Aged, medicine.disease, 3. Good health, Surgery, Stenosis, medicine.anatomical_structure, Urologic Surgical Procedures, Pouch, business |
| الوصف: | Introduction. Uretero-intestinal anastomisis has a large influence on derivation quality. Objective. The aim of the study was to present the modified serous lined extramural Abol-Enein method of implantation of low quality ureter into the sigma-rectum pouch and comparison of the results with Le Duc implantation. Methods. From 1995 to 2009, 62 dilated ureter units were implanted in the detubularized rectosigmoid urinary reservoir. In 28 units Le Duc, and in 34 Abol-Enein method was done. Urinary fistula and ileus were considered as early complications, while late complications included stenosis and reflux pyelonephritis. Frequency of urination was considered as a parameter of functionality. Results. Transitory urine fistulae occurred only in the ureters implanted according to Le Duc technique in 4/28 (14.2%); the difference between the examined groups was close but still below the level of statistical significance (p=0.07). Ileus occurred with nearly equal frequency in both groups. Stenosis on the ureteral implantation place was significantly more frequent (p=0.04) in the Le Duc group 5/28 (21.7%) than in the Abol-Enein group 0/34 (0%). Refluxive pyelonephritis occurred in 3/34 (8.8%) of the Abol-Enein group, and in 5/28 (21.7%) of patients in the Le Duc group. Concerning the daily frequency, there was no difference between the examined groups. Conclusion. Uretero-intestinal anastomisis of dilated ureters through a serous-lined extramural tunnel decreases the risk of reflux in a considerable number of patients, with an acceptable level of complications. There are several advantages in comparison with Le Duc method. |
| وصف الملف: | application/pdf; txt |
| اللغة: | English |
| تدمد: | 0370-8179 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::20b2875321858e8290f1adec235dfee4 http://www.doiserbia.nb.rs/img/doi/0370-8179/2011/0370-81791108491S.pdf |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....20b2875321858e8290f1adec235dfee4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 03708179 |
|---|