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Non-obstructive, non-refluxing uretero-colonic anastomosis by colonic sero-muscular excision and extra mural peri-ureteric wrap - A new technique in 17 children.
J Pediatr Urol
February 2021
Department of Pediatric Surgery, PSGIMS&R and PSG Hospitals, Coimbatore, Tamilnadu, India. Electronic address:
Introduction: Uretero-enteric anastomosis with concomitant neobladder/augmentation/conduit becomes necessary when the bladder is unavailable or unfit for reimplantation or the ureters are short after high diversion or resection of lower ureteric pathology. Aiming to prevent both obstruction and reflux, we report a novel technique of sero-muscle denuded extra mural uretero-colic anastomosis.
Operative Technique: (Fig 1) The ureter was brought through the colonic mesentery.
Modified double-barrelled wet colostomy after total pelvic exenteration.
Updates Surg
December 2017
Department of Human Pathology, University of Messina, Via Consolare Valeria, 98125, Messina, Italy.
Pelvic exenteration is a radical surgery that can require urinary and faecal diversions. Double-barreled wet colostomy, a viable alternative to the traditional ileal conduit with separate colostomy technique, is not always applicable due to the shortness of an ureter. To overcome this problem, I modified the original technique, replacing the two uretero-colic anastomoses with an ureteroureterostomy and an uretero-colic anastomosis.
View Article and Find Full Text PDFAcquired risk factors for colorectal cancer.
Methods Mol Biol
January 2009
Virginia Mason Medical Center, Digestive Diseases Institute, Seattle, WA, USA.
The risk of developing colorectal cancer (CRC) is influenced by several acquired risk factors, including environmental exposures and comorbid medical conditions that are partially genetic in nature. These risk factors are based on data almost exclusively derived from observational studies. Because of the possibility of bias due to confounding, these acquired risk factors should not be automatically assumed to be causative, and in fact some may not be truly independent risk factors.
View Article and Find Full Text PDF[The history of ureterosigmoidostomy].
Urologe A
January 2008
Klinik und Poliklinik für Urologie, Rheinische Friedrich-Wilhelms-Universität, Bonn, Deutschland.
Congenital anomalies like bladder exstrophy were the indication in 1821 to implant the ureters into the sigmoid colon for the first time. In 1894 the Maydl technique was used more frequently with a postoperative mortality rate of 31%. The most important impact for ureterosigmoidostomy came from Robert Coffey in 1911.
View Article and Find Full Text PDFTranscolonic retrograde ureteric catheterization assisted by 3-D computed tomography.
Australas Radiol
August 1999
Department of Radiology, Gold Coast Hospital, Southport, Queensland, Australia.
A 42-year-old woman had bladder exstrophy at birth, treated by ureterocolic anastomosis of her single kidney. She suffered recurrent hyperammonaemia, leading to comas, but refused an ileal conduit. During her most recent coma, it was decided to divert her urine to test whether this would reduce hyperammonaemia: this was accomplished by transcolonic retrograde catheterization of the ureter.
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