Laparoscopic Psoas Hitch Double Ureteral Re-implantation in the Duplex Urinary System for Treatment of Ureterovaginal Fistula.
| Autor: | Leitão TP; Urology Department, Centro Hospitalar Lisboa Norte, Faculdade de Medicina de Lisboa, CAML, Centro Académico de Medicina de Lisboa, Lisboa, Portugal., E Silva RP; Urology Department, Centro Hospitalar Lisboa Norte, Lisboa, Portugal., Barata S; Obstetrics and Gynecology Department, Centro Hospitalar Lisboa Norte, Hospital Santa Maria, Lisboa, Portugal., Guerra A; Radiology Department, Hospital da Luz, Lisboa, Portugal., Osório F; Head of Minimally Invasive Surgery Unit, Obstetrics and Gynecology Department, Hospital da Luz, Faculdade de Medicina de Lisboa, CAML, Centro Académico de Medicina de Lisboa, Lisboa, Portugal. |
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| Jazyk: | angličtina |
| Zdroj: | Surgical technology international [Surg Technol Int] 2016 Apr; Vol. 28, pp. 170-6. |
| Abstrakt: | Introduction: Although laparoscopy is widely established for ablative urologic procedures, pelvic reconstructive procedures are still mostly performed by open-surgery. As urologists continue to introduce advanced laparoscopic skills to reconstructive urologic procedures, we present our experience with a laparoscopic psoas hitch double ureteral re-implantation in a patient with an ureterovaginal fistula and an ipsilateral duplex urinary system. Materials and Methods: A 42-year-old patient presented with continuous involuntary urine loss from the vagina after an abdominal hysterectomy. A double modified Lich-Gregoir ureteral re-implantation with a psoas hitch was performed, using a 4-port laparoscopic approach. Results: There were no post-operative complications and the cystography at post-operative day 14 revealed good positioning of the psoas hitch, with no leak or reflux. At three-months follow-up, the patient is completely dry and asymptomatic. Conclusion: Laparoscopic ureteroneocystostomy with psoas hitch for the treatment of lesions of the distal ureter is a possible, safe, and effective way to resolve a complex urologic situation with minimally invasive surgery. Laparoscopy is becoming the standard approach to urologic pelvic reconstructive procedures, even in the most complex cases. |
| Databáze: | MEDLINE |
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