FIELD: medicine; urology.
SUBSTANCE: inguinal region is dissected and ureter is mobilised. After that duplex ureter is formed by coaptation suturing. In ureter lower third double duplex of two ureter folds is formed on two sides from vessels as segmental blood vessels fall in formed duplex. Duplex is formed by transverse interrupted suturing. After duplex is formed, in lower part of ureter ureterovesicoanastomosis is carried out. In that specific case two ureter folds are formed by two separate sutures. Sutures are applied from two sides from blood vessels. In other special case two ureter folds are formed by one suture. Thus needle is stuck and pricked out on one lateral wall of ureter. Then needle is brought under vessels. Needle is stuck directly in front of them and led out directly behind. Further stick and prick out is applied on opposite lateral side of ureter. Then needle is led in opposite direction under vessels. Needle is stuck directly in front of vessels and led out directly behind. Thread ends are tightened and fastened.
EFFECT: method improves ureter wall blood circulation in ureteroplication.
3 cl, 3 dwg, 1 ex
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Authors
Dates
2008-10-20—Published
2007-04-11—Filed