FIELD: medicine.
SUBSTANCE: forming a hole in an avascular zone intestine mesentery full thickness of the bladder during the replacement of the tank or a thin segment of the colon. Wires into the holes stitched together ureters. Fix them to the ventral mesentery four interrupted sutures. Stitch the proximal and distal colon of the ureters. Intestine dissected arched are over 3.5-4.0 cm. Impose stapled anastomosis between the ureters and the bladder tank mesenteric edge continuous suture. Sutured tank nodal serous-muscular-submucosal sutures absorbable suture 5/0.
EFFECT: method prevents the development of retrograde throw urine in the kidney and development of acute pyelonephritis reflux, failure and anastomotic stricture.
2 ex, 6 dwg
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