METHOD FOR HETEROTOPIC PLASTY OF BLADDER

FIELD: medicine, urology. ^ SUBSTANCE: the present innovation should be applied in situations after removing patient's bladder. It is necessary to mobilize ileum at the distance of about 55-60 cm leaving 20 cm against ileocecal angle, form an interintestinal anastomosis followed by detubularization of 50 cm of transplant's part to rotate it for the angle of 180 deg. around mesentery so, that detubularized part should be located towards right-hand ileal area. Detubularized part should be at first subjected to longitudinal and then - transverse reconfiguration by, thus, forming a low-pressure reservoir. Ureters should be anastomosed with reservoir along its posterior wall upon modeling catheters according to special technique. The rest transplant's part should be narrowed due to applying Lembert suture at the distance of 0.5 cm against each other. The first row of sutures should be covered with uninterrupted blanket suture with the same ligature, after that, modeling catheters and the tube developed for urinary removal should be withdrawn through separate incisions of anterior abdominal wall. On forming the stoma the site of catheters output should be limited against abdominal cavity with several sutures between reservoir's anterior wall and parietal peritoneum of anterior abdominal wall. The innovation enables to obtain controlled urinary removal through the stoma, increase the capacity of patient's bladder under development, decrease its intraluminal pressure and exclude complications caused by constant urinary suffusion. ^ EFFECT: higher efficiency of plasty. ^ 14 dwg, 1 ex, 1 tbl