Continent Heterotopic Urine Derivation Forms

Spitsin, I. M.; Perepechay, V. A.; Коган, М. И.

doi:10.21886/2306-6424-2017-5-1-64-70

Cited by 3 publications

(1 citation statement)

References 23 publications

(24 reference statements)

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“…Последняя при таких видах вмешательств получается инконтинентной, то есть без механизма удержания. К сожалению, проверку временем эти операции прошли только у взрослых пациентов онкологического профиля, где их применяют главным образом после цистэктомии [15]. В детской практике операции типа Mogg/Bricker применяют редко, хотя вопрос об их применении у детей пристально изучался.…”

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Modern view on the problem of urine diversion in children with severe urinary disorders

Ignatyev

Гусева

Борисовна³

et al. 2021

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Urination is a complex multicomponent process. Urinary disorders often lead to serious consequences on the urinary system, social maladaptation, and impairment of the quality of children's lives. Due to the large number of pathologies leading to these disorders and the involvement of several systems (for example, the nervous system in myelodysplasia), the doctor must be extensively knowledgeable and experienced in related fields. Surgical methods of urinary diversion have a long history. Surgeons worldwide have been trying to solve this problem for many decades, but it remains relevant and unsolved. The wide variety of urinary disorders has a correspondingly impressive number of types and options of surgical interventions. The goals of these surgical techniques are to correct the anatomical and clinical aspects of the disorders and assure the childs socio-psychological adaptation. Surgeons must consider many factors such as all the pathogenetic nuances of an underlying disease, comorbidities, the childs constitutional features, prospects for his or her social adaptation, the family home environment, parents willingness to and focus on long and challenging treatment. Based on these details, it is evident that urinary diversion in children is a multifaceted problem. It requires a very careful and individualized approach to each patient to ensure choosing the optimal treatment method in each case. This choice will affect many aspects of the childs life, including his or her social adaptation, the ability to obtain an education and lead an almost normal lifestyle. The aim of this study is to review and systematize the accumulated knowledge on this subject.

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unclassified

Modern view on the problem of urine diversion in children with severe urinary disorders

Ignatyev

Гусева

Борисовна³

et al. 2021

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Delayed reconstruction of the bladder and rectum after evisceration of the pelvic organs in patients with relapse of malignant neoplasms and radiation injuries (2 clinical observations)

Korotkov

Петров

Касымов

et al. 2022

Androl. genit. hir.

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The study presents two clinical observations of delayed reconstructive surgeries: 1) in a patient with recto-bladder fistula formed after a course of external beam therapy due to recurrent prostate cancer; 2) in a patient with progressing cervical carcinosarcoma, tumor invasion in the bladder wall, and metastases in the rectoperineal lymph nodes. Absence of standards of care, algorithms of diagnostic and surgical manipulations for this patient category creates a need for personalized approach to the stated problems. An interdisciplinary meeting allows to realize a plan of surgical help for these patients to address oncological process and complications of its treatment. At the reconstructive stage, we used techniques of formation of a new continent heterotopic reservoir from the ileocecal segment and coloanal anastomosis. The presented clinical observations are interesting due to delayed stage of reconstructive interventions which in the absence of progression of the main disease allows to perform correcting operations to improve patients’ quality of life.

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