Reversed seromuscular gastrocystoplasty for bladder augmentation
| Autor: | Zafer Daşci, Fatma Abasiyanik, Adnan Abasiyanik, Burhan Köseoğlu, Ahmet H. Gündoğan, Kamil Beşoluk, Ates Duman, Nilgün Kuru |
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| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
Urinary Bladder Urology Urine urologic and male genital diseases Right gastroepiploic artery Surgical Flaps Electrolytes Dogs Postoperative Complications Serous Membrane medicine.artery medicine Gastric mucosa Animals Urothelium Urinary bladder Hyperplasia business.industry Stomach General Medicine Hydrogen-Ion Concentration medicine.disease Squamous metaplasia medicine.anatomical_structure Bladder augmentation business Bladder stone |
| Zdroj: | Research in experimental medicine. Zeitschrift fur die gesamte experimentelle Medizin einschliesslich experimenteller Chirurgie. 199(1) |
| ISSN: | 0300-9130 |
| Popis: | The aim of this study was to prevent the complications of gastrocystoplasty by using reversed seromuscular gastrocystoplasty for bladder augmentation. Healthy mongrel dogs were used in the study. A diamond shaped segment was separated from the remainder of the stomach preserving the right gastroepiploic artery in 11 dogs. The gastric mucosa was removed. A reversed seromuscular gastrocystoplasty was performed. The animals were observed for a mean of 7.7 months. Thereafter, relaparotomy was performed in all animals. A bladder stone was found in 1 dog. In the histopathological evaluation of the urinary bladder, it was seen that the gastric serosal surface was covered with the urothelium in all dogs. Transitional epithelial hyperplasia in 1 dog (12.5%) and squamous metaplasia in 2 dogs (25%) were identified. There were no statistical differences between preoperative and postoperative values of urine and blood pH and serum sodium, potassium, chloride, and bicarbonate levels. Complications of gastrocystoplasty such as hypochloremic metabolic alkalosis and hematuria and dysuria syndrome, are prevented by this procedure. The shrinkage of the gastric patch surface may also be prevented by facing the smooth gastric serosa to the internal surface of the urinary bladder. |
| Databáze: | OpenAIRE |
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