Appendix Ureteroplasty

Weinberg, Raymond W.

doi:10.1111/j.1464-410x.1976.tb10208.x

Cited by 26 publications

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Crombleholme et al have used this technique successfully in patients with biliary atresia and choledochal cyst [2]. The appendix has also been used as a ureteral conduit and long-term patency and function has been documented for as long as 11 years postoperatively [18]. Our initial experiences with the use of the appendix as a bilioenteric Fig.…”

Section: Discussionmentioning

confidence: 96%

Appendix as a Biliary Conduit for Choledochal Cysts in Children

Shah

2005

Eur J Pediatr Surg

View full text Add to dashboard Cite

Biliary conduits are constructed in operations for choledochal cysts. A wide variety of options are available for biliary tract reconstruction. We present our experience of treating six children with choledochal cysts by using the appendix as a biliary conduit. After mobilizing the appendix on its vascular pedicle, nonrefluxing, tunneled anastomosis was made with the 2nd part of the duodenum and the appendix. The operative procedure was simple and less time-consuming. Postoperative evaluation was done with the help of HIDA scan and ultrasound examination. Postoperative cholangitis was conspicuously absent in the two years of follow-up. One child has been lost to follow-up. From our preliminary experience, the operation seems simple and satisfying. Though the long-term efficacy still remains to be proven, the appendix should prove durable as a functional conduit.

show abstract

Section: Discussionmentioning

confidence: 96%

Appendix as a Biliary Conduit for Choledochal Cysts in Children

Shah

2005

Eur J Pediatr Surg

View full text Add to dashboard Cite

show abstract

“…The cecal appendix, which has long been used in urologic surgery as an intermittent catheterization stoma for the bladder or urinary reservoirs (Mitrofanoff principle) [2], has been used to replace the right and, more rarely, the left ureter in various pathological conditions [3,4,5,6,7,8]. Compared to the ileum and colic segments, it provides several advantages: suitable caliber/length ratio, little tendency to dilation over time, caliber and structure comparable with ureteral ones, exclusive vascularization, reduced mucosa surface and little reabsorption of urinary electrolytes, and easy removal with no need for intestinal anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Use of the Appendix as Ureteral Substitute in a Patient with a Single Kidney Affected by Relapsing Upper Urinary Tract Carcinoma

Antonelli

Zani

Dotti

et al. 2005

The Scientific World JOURNAL

View full text Add to dashboard Cite

The treatment of upper urinary tract transitional cell carcinoma (UT-TCC) in single-kidney patients requires the radical removal of cancer, but also, when feasible, the preservation of the continuity of the urinary tract by various surgical techniques. In case of wide resections during ureteral surgery, a ureteral replacement could be advocated. In the literature, the cecal appendix has rarely been used as a ureteral substitute, moreover in benign pathological conditions, showing encouraging early results. The positive functional and oncological outcomes obtained after a lengthy follow-up in a single-kidney patient with UT-TCC treated by ureteral resection and appendix interposition confirm the viability of this surgical option.

show abstract

Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis

Eriksson

Granström

1995

Journal of British Surgery

376

356

View full text Add to dashboard Cite

In a prospective controlled study the effect of antibiotics as the only treatment in acute appendicitis was evaluated. Of 40 patients admitted with a duration of abdominal pain of less than 72 h, 20 received antibiotics intravenously for 2 days followed by oral treatment for 8 days and 20 considered as controls were randomized to surgery. All patients treated conservatively were discharged within 2 days, except one who required surgery after 12 h because of peritonitis secondary to perforated appendicitis. Seven patients were readmitted within 1 year as a result of recurrent appendicitis and underwent surgery, when appendicitis was confirmed. The diagnostic accuracy within the operated group was 85 per cent. One patient had perforated appendicitis at operation. Antibiotic treatment in patients with acute appendicitis was as effective as surgery. The patients had less pain and required less analgesia, but the recurrence rate was high.

show abstract

Appendix Ureteroplasty

Cited by 26 publications

References 2 publications

Appendix as a Biliary Conduit for Choledochal Cysts in Children

Appendix as a Biliary Conduit for Choledochal Cysts in Children

Use of the Appendix as Ureteral Substitute in a Patient with a Single Kidney Affected by Relapsing Upper Urinary Tract Carcinoma

Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis

Contact Info

Product

Resources

About