| Autor: |
B K, Komyakov, B G, Guliev, V A, Ochelenko, T Kh, Al-Attar, Kh M, Mkhanna, A Kh, Gaziev |
| Rok vydání: |
2017 |
| Předmět: |
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| Zdroj: |
Urologiia (Moscow, Russia : 1999). (3) |
| ISSN: |
1728-2985 |
| Popis: |
To present the results of intestinal ureteroplasty and technical features of right-sided ileoureteroplasty.From 2001 to 2015, 78 patients underwent isolated reconstruction of the ureter using a segment of the ileum, of whom 57 (73%) and 21 (27%) patients had unilateral and bilateral operation, respectively. In total, isolated segments of the ileum were used to substitute 101 ureters including 45 (44.6%) right ureters.The follow-up period ranged from 3 months to 14 years (mean 8.3 +/- 0.8 years). Early postoperative complications occurred in 8 (10.2%) patients and 5 (6.4%) of them required reoperation. Long-term postoperative complications occurred in 7 (8.9%) patients and 4 required surgical treatment. All patients had good results of conservative treatment and reoperations. There were no deaths. All patients achieved restoration of urodynamics and normalization of kidney function.Right-sided, especially total, ileoureteroplasty is the most technically challenging among other possible options to substitute the ureter with a small bowel segment. To avoid mesenteric torsion when performing isoperistaltic ureteroplasty, the graft should be placed above and in front of the intestinal anastomosis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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