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Titolo:
Simple anti-reflux uretero-ileal anastomosis: An experimental study in dogs
Autore:
Kiyokawa, H; Igawa, Y; Muraishi, O; Tamai, C; Nishizawa, O;
Indirizzi:
Shinshu Univ, Sch Med, Dept Urol, Matsumoto, Nagano 3908621, Japan ShinshuUniv Matsumoto Nagano Japan 3908621 sumoto, Nagano 3908621, Japan Shinshu Univ, Sch Med, Dept Lab Med, Matsumoto, Nagano 3908621, Japan Shinshu Univ Matsumoto Nagano Japan 3908621 sumoto, Nagano 3908621, Japan
Titolo Testata:
JOURNAL OF UROLOGY
fascicolo: 3, volume: 162, anno: 1999,
parte:, 1
pagine: 902 - 904
SICI:
0022-5347(199909)162:3<902:SAUAAE>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
AFFERENT ANTIREFLUX VALVE; LINED EXTRAMURAL TUNNEL; URINARY-DIVERSION; URETEROINTESTINAL ANASTOMOSIS; KOCK POUCH; RESERVOIR; OPTIMIZATION; NEOBLADDER;
Keywords:
urinary diversion; ileum; anti-reflux valve; dog;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Kiyokawa, H Shinshu Univ, Sch Med, Dept Urol, 3-1-1 Asahi, Matsumoto, Nagano 3908621, Japan Shinshu Univ 3-1-1 Asahi Matsumoto Nagano Japan 3908621 Japan
Citazione:
H. Kiyokawa et al., "Simple anti-reflux uretero-ileal anastomosis: An experimental study in dogs", J UROL, 162(3), 1999, pp. 902-904

Abstract

Purpose: To develop more simple and effective anti-reflux techniques applicable to the ileal reservoir, we examined the usefulness of a novel anti-reflux uretero-ileal anastomosis creating a flap valve mechanism. Materials and Methods: Five dogs were used. A 4 cm. long ileal segment wasisolated and its oral part (2.5 cm.) was detubularized. The detubularized ileal plate was anastomosed to the dome of the bladder. The left ureter wascut and its proximal end was spatulated and anastomosed end-to-side to theileal plate. The end of the 1.5 cm. long afferent limb (non-detubularized part of the ileal segment) was closed and fixed down to the ileal plate to create an extramural tunnel. In this way, the reimplanted ureter was covered by the afferent limb. The dogs were evaluated between 3 and 4 months postoperatively. Results: None of the 5 dogs used showed vesico-ureteral reflux or hydronephrosis. Histological examination showed an intact ureter enclosed with a normal ileal wall. Conclusion: Our proposed anti-reflux uretero-ileal anastomosis is simple and reliable. This technique may be suitable for applying to a urinary reservoir, especially as an alternative to the intussuscepted nipple valve.

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Documento generato il 21/09/20 alle ore 01:19:53