A Critical Appraisal of the Boari Flap

Bowsher, W. G.; Shah, Priya; Costello, Anthony J.; Tiptaft, R. C.; Paris, A. M. I.; Blandy, J. P.

doi:10.1111/j.1464-410x.1982.tb13623.x

Cited by 38 publications

(6 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…When one ureter was injured, it was dissected and reimplanted without tension into a Boari-Ockerblad flap (Bowsher et al, 1982). If both ureters were injured, a double-Boari flap was formed (Blandy, 1986).…”

Section: Diagnosismentioning

confidence: 99%

Early Repair of Accidental Injury to the Ureter or Bladder Following Gynaecological Surgery

Badenoch

Tiptaft

Thakar³

et al. 1987

British Journal of Urology

Self Cite

View full text Add to dashboard Cite

Operative injury to the ureter or bladder in 59 women who had received no previous pelvic radiotherapy was repaired as soon as possible after referral. In 32, this was less than 6 weeks from the injury, while in 27 patients the delay in referral was greater than 6 weeks. Ureteric injuries in 40 patients (43 ureters) were repaired by the Boari-Ockerblad technique. Post-operative vesicovaginal fistulae in 19 women were repaired transvesically with an omental patch. Primary healing was obtained in all cases whether early or late. These results support our recommendation for early intervention in these injuries.

show abstract

Section: Diagnosismentioning

confidence: 99%

Early Repair of Accidental Injury to the Ureter or Bladder Following Gynaecological Surgery

Badenoch

Tiptaft

Thakar³

et al. 1987

British Journal of Urology

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is limited, however, by its short reach and ability to repair only distal injuries. A generous vesical flap is needed as well and may compromise bladder volume in some patients [5]. A tensionfree anastomosis is required to prevent leaks, and the superior vesical artery should be preserved to ensure flap viability.…”

Section: Discussionmentioning

confidence: 99%

Ureteral reconstruction for retroperitoneal tumors in children

Rutigliano

Georges

Wolden

et al. 2007

Journal of Pediatric Surgery

View full text Add to dashboard Cite

“…In order to help achieve this, a Boari flap can be used to bring the bladder closer to the cut end (Fig. 4) [13]. A double flap can be used to reconstruct bilateral injury.…”

Section: Laceration Lnjurymentioning

confidence: 99%

Ureteric trauma in gynecologic surgery

Drake

1998

Int Urogynecol J

View full text Add to dashboard Cite

Nearly all gynecological procedures have been reported to cause ureteric injury, with an incidence of 0.4%-2.5% for non-malignant conditions. The incidence is rising as more ambitious operations are undertaken laparoscopically. Risk factors for ureteric injury include cancer, hemorrhage, endometriosis, adhesions and an enlarged uterus. Types of injury include ligation, crush, laceration, avulsion, stretch and devascularization. The diagnosis may be obvious intraoperatively, but postoperative presentation with loin pain, pyrexia, fistula or non-specific signs is more common. A significant number are asymptomatic. Early diagnosis is vital, and urological investigation should be considered in any patient who is not recovering as expected. Injuries recognized intraoperatively should be repaired during the same operation. Delayed recognized injuries are being managed conservatively with increasing success in selected cases. Early operative repair achieves good results unless the injury is severe. Litigation is less likely if the diagnosis is prompt, repair is successful and the patient is treated with consideration.

show abstract

A Critical Appraisal of the Boari Flap

Cited by 38 publications

References 3 publications

Early Repair of Accidental Injury to the Ureter or Bladder Following Gynaecological Surgery

Early Repair of Accidental Injury to the Ureter or Bladder Following Gynaecological Surgery

Ureteral reconstruction for retroperitoneal tumors in children

Ureteric trauma in gynecologic surgery

Contact Info

Product

Resources

About