WAYS TO RESTORE URETER IN KIDNEY TRANSPLANTATION Russian patent published in 2016 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: bladder of the recipient is mobilized. Form a defective area in superolateral bladder area. Mucosa is bared. In the lower right corner of the defect muscle layer was separated from the bladder mucosa. A pit of the size of 1-1.5×1-1.5 cm is formed. Between the layers of the deepening mucous membranes of the ureter and bladder are sewn on four sectors of the circumference of the anastomosis. Edges of the sectors are fixed between nodes on the free ends of the filaments 3, 6, 9 and 12 o'clock of the dial of the conditioned. Ends of the strands of the units 3 and 9 o'clock give birth formed in the groove. They are used to stitch the muscle layer of the bladder with the distance between pairs of strands of 2-3 mm larger than the diameter of anastomosis. Anastomosis is pulled by the strings of its immersion in the axillary recess layer. Fixing thread on the surface of the bladder.

EFFECT: method avoids postoperative complications due to the formation of a hermetic junction, reducing the risk of scar-sclerotic changes in the formation ureterocystoanastomosis during transplantation of a donor kidney in patients with end-stage renal failure.

1 cl, 7 dwg, 2 ex