Ileal substitute of ureter with reflux-plasty by terminal intussusception of bowel Animal experiments and clinical experience

The conflicting results reported after substitution of the ureter by isolated bowel segments suggest that the procedure is still hazardous. This induced us to check experimentally the performance of the ileal ureter with antireflux-plasty before using it clinically. The antireflux mechanism is const...

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Veröffentlicht in:Urology (Ridgewood, N.J.) N.J.), 1977-04, Vol.9 (4), p.385-389
Hauptverfasser: Tscholl, R., Tettamanti, F., Zingg, E.
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container_title Urology (Ridgewood, N.J.)
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creator Tscholl, R.
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Zingg, E.
description The conflicting results reported after substitution of the ureter by isolated bowel segments suggest that the procedure is still hazardous. This induced us to check experimentally the performance of the ileal ureter with antireflux-plasty before using it clinically. The antireflux mechanism is constructed by intussuscepting the terminal 8 cm. of an isolated ileal segment into each other thus forming a nipple. After vesicoileostomy the nipple protrudes into the urinary bladder. In the pig vesicoileorenal reflux was prevented, and anterograde urinary flow from the kidney through the ileal ureter into the bladder was unobstructed. Finally, the case of a patient is recorded who was submitted to the same procedure successfully.
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subjects Animals
Female
Humans
Ileum - transplantation
Methods
Middle Aged
Swine
Transplantation, Autologous
Ureter - physiology
Ureter - surgery
Vesico-Ureteral Reflux - prevention & control
title Ileal substitute of ureter with reflux-plasty by terminal intussusception of bowel Animal experiments and clinical experience
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