Antegrade repositioning of Memokath stent in malignant ureteroileal anastomotic stricture

Autor: Bee Kuan Lim, Azad Hassan Abdul Razack, N. Dublin, Thi Ha Htun, Keng Lim Ng, Ouzrieah Nawawi
Rok vydání: 2017
Předmět:
medicine.medical_specialty
Stent insertion
Ovariectomy
medicine.medical_treatment
lcsh:Surgery
030232 urology & nephrology
Radiology
Interventional
Urinary Diversion
Anastomosis
Cystectomy
Prosthesis Design
Risk Assessment
Vesicovaginal fistula
Balloon dilatation
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Neoplasm Invasiveness
cardiovascular diseases
Device Removal
Neoplasm Staging
Ovarian Neoplasms
medicine.diagnostic_test
business.industry
Jj stent
Stent
lcsh:RD1-811
Cystoscopy
Memokath stent
Middle Aged
equipment and supplies
medicine.disease
Prosthesis Failure
Surgery
ureteroileal stricture
Treatment Outcome
surgical procedures
operative
030220 oncology & carcinogenesis
Retreatment
Female
Stents
Radiology
business
antegrade
Follow-Up Studies
Ureteral Obstruction
Zdroj: Asian Journal of Surgery, Vol 40, Iss 2, Pp 171-174 (2017)
Scipedia Open Access
Scipedia SL
ISSN: 1015-9584
DOI: 10.1016/j.asjsur.2013.09.012
Popis: SummaryUreteric strictures are common and can be due to benign or malignant causes. Various surgical treatments can be used from minimally invasive endoscopic retrograde JJ stent insertion, balloon dilatation, ureterolithotomy, to open surgical exploration and repair. Memokath 051 stent is a metallic stent designed for long-term ureteral stenting in the management of ureteral strictures. The insertion of this device is usually a straightforward procedure performed endoscopically in a retrograde fashion via cystoscopy. However, this procedure can be difficult in complicated scenarios when the bladder has been removed with neoureteral reimplantations or high-grade strictures. Here, we report a case of Memokath stent insertion complicated by placement difficulties in a lady with ileal conduit due to previous ovarian cancer complicated by vesicovaginal fistula, who presented with malignant stricture of the ureteroileal anastomosis. We describe a simple yet effective antegrade technique to precisely reposition the malpositioned Memokath stent, along with illustrations.
Databáze: OpenAIRE
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