Vesicoileosigmoidostomy as a diversion after unsuccessful primary closure for exstrophy
| Autor: | M.D. Tracy O. Powell, M.D. Arthur Orlowski, M.D. Daniel M. Hays, M.D. Donald T. Desilets, M.D. Ellin Lieberman |
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| Rok vydání: | 1965 |
| Předmět: |
Urologic Diseases
medicine.medical_specialty Urinary system medicine.medical_treatment Hydronephrosis Urinary Diversion Congenital Abnormalities Ureter medicine Humans Child Upper urinary tract business.industry Bladder Exstrophy Suture Techniques Urinary diversion Urography General Medicine medicine.disease Surgery Bladder exstrophy medicine.anatomical_structure Urologic disease business Pyelogram |
| Zdroj: | The American Journal of Surgery. 109:795-801 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/s0002-9610(65)80054-x |
| Popis: | Summary Children with exstrophy may be seen at school age with a history of (1) anterior, primary, vesical closure having been performed in early infancy and (2) repeated revisions of the operation having been carried out in subsequent years in an attempt to attain continence. Fifteen such patients who had an average of 3.4 attempts at closure but remained (1) completely incontinent or (2) showing upper urinary tract deterioration, or both, were subjected to a form of intestinal diversion, namely, vesicoileosigmoidostomy. Evaluation of the degree of upper urinary tract protection provided by this complex conduit system is premature. Its theoretic advantages over other intestinal diversions may not prove of practical value. However, among those patients with near normal upper urinary tracts prior to this procedure, there has been no progressive upper tract changes. During four years of postoperative observation, the degree of continence obtained and consequent social rehabilitation possible, have been impressive. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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