Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Perimesenteric detubularization of ileum for ileocystoplasty improves compliance and increases capacity
Autore:
Nikolaev, VV;
Indirizzi:
Russian State Med Univ, Dept Paediat Surg, Moscow 117437, Russia Russian State Med Univ Moscow Russia 117437 Surg, Moscow 117437, Russia Russian State Med Univ, Dept Urol, Russian Childrens Clin Hosp, Moscow, Russia Russian State Med Univ Moscow Russia hildrens Clin Hosp, Moscow, Russia
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 6, volume: 88, anno: 2001,
pagine: 577 - 580
SICI:
1464-4096(200110)88:6<577:PDOIFI>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONTINENT ILEAL RESERVOIR; URINARY-DIVERSION; CHILDREN;
Keywords:
urinary reservoirs; bladder augmentation; ileal neobladder;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Nikolaev, VV M Nikitskaya 14-2, Moscow 121069, Russia M Nikitskaya 14-2 Moscow Russia 121069 oscow 121069, Russia
Citazione:
V.V. Nikolaev, "Perimesenteric detubularization of ileum for ileocystoplasty improves compliance and increases capacity", BJU INT, 88(6), 2001, pp. 577-580

Abstract

Objective To describe a modified form of detubularization using a perimesenteric incision of the ileal segment, which increases the capacity of the neobladder and reduces the length of the ileal segment required. Patients and methods From February 1993 to November 1999, ileocystoplasty was undertaken in 20 patients (mean age 8.4 years, range 4-16). Six had myelodysplasia, four had primary epispadias, five had bladder exstrophy, threehad post-traumatic lesions and two had cloacal exstrophy. The patients were divided into two groups; in the first (eight patients, mean age 9.6 years, range 5-15) the ileal segment was opened along the antemesenteric border and in the second (12 patients, mean age 7.7 years, range 4-16) the ileal segment was opened adjacent to the mesentery, perimesenterically. Each segment was then folded and the perimesenteric edges sutured to form the pouch. Results The patients were assessed at 1 year after surgery; the neobladdercapacity was evaluated as ((neobladder capacity-bladder capacity)/body weight), which shows the relative increase of bladder capacity after enterocystoplasty per unit of weight. There was a statistically significant increasein neobladder capacity in group 2 (perimesenteric transection; Kruskal-Wallis chi-square, P = 0.005: Mann-Whitney U-test, P = 0.006). Conclusion These results indicate that augmentation can be carried out by perimesenteric transection of the intestinal segment, which improves compliance and increases capacity of the neobladder.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 07:11:25