METHOD FOR CONTINENTAL HETEROTOPIC UMBILICAL ILEOCYSTOPLASTY Russian patent published in 2022 - IPC A61B17/00 A61F2/02 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely, urology, oncology. The resection of the ileum is performed. The resected segment is dissected from the cranial edge along the mesenteric edge while preserving the tubular structure of the caudal end. The back wall of the reservoir is formed. The mesentery is mobilized in the distal direction in the efferent tubular segment. The segment devoid of mesentery is invaginated into the lumen of the reservoir. The invaginate is underrun from the side of the reservoir. The outer wall of the invaginate is attached to the back wall of the reservoir. A non-absorbable polypropylene mesh is wrapped around the valve in the form of a coupling. The coupling is circularly attached throughout to the reservoir wall, the valve and the efferent limb of the twisted intestine. Ureters are implanted into the back wall of the reservoir using the Le-Duc antireflux technique. The reservoir is folded longitudinally and its front wall is completely sutured. A circular excision of the skin and aponeurosis is performed in the umbilical ring. The valve coupling and the aponeurotic ring in the umbilical fossa are sutured. The efferent leg of the intestine is inserted into the stomal opening with simultaneous tightening of the sutures and removal of the valve to the anterior abdominal wall. The end of the efferent intestine is sutured to the stomal skin opening.

EFFECT: present invention enables to minimize postoperative complications, initiating autocatheterization at the earliest postoperative time, which ensures the earliest possible realization of the accumulative function of the reservoir, an increase in the capacity of the heterotopic neocyst, restoration of adequate quality of urine retention and thereby the earliest possible rehabilitation of the patient.

1 cl, 3 ex