Complex Ureteral Reconstruction in Kidney Transplantation
| Autor: | Talal Al-Qaoud, Luis A. Fernandez, Hans W. Sollinger, David Al-Adra, Dixon B. Kaufman, Joshua D. Mezrich, Jon S. Odorico |
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| Rok vydání: | 2021 |
| Předmět: |
Transplantation
medicine.medical_specialty business.industry Urinary Bladder Constriction Pathologic urologic and male genital diseases medicine.disease Kidney Transplantation Ureteral reconstruction Surgery Ureteral dilatation Medicine Humans Boari flap In patient Ureter Complication business Kidney transplantation Ureteral Obstruction |
| Zdroj: | Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation. 19(5) |
| ISSN: | 2146-8427 |
| Popis: | OBJECTIVES Despite advances in surgical techniques and organ preservation, transplant ureteric strictures remain a common complication in kidney transplantation. A variety of endourological and surgical techniques have been utilized; however, there is a lack of consensus on the optimal modality in dealing with these complex cases. MATERIALS AND METHODS We present challenging ureteral reconstruction cases after failed attempts at ureteral dilatation, failed conventional open repairs, and/or with bladder dysfunction. RESULTS All renal allografts were salvaged by successful use of bladder Boari flap and intestinal segment interpositions/diversions. CONCLUSIONS Operative repair remains the most durable and successful approach, and minimally invasive options should be reserved for nonsurgical candidates, with consideration of a single attempt in patients with early, distal, short ( |
| Databáze: | OpenAIRE |
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