Laparoscopic Ureteral Reimplantation: A Single Center Experience and Literature Review

Symons, Stephanie; Kurien, Abraham; Desai, Mahesh

doi:10.1089/end.2008.0266

Cited by 39 publications

(25 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although ORT was longer initially, with growing experience there was an improvement in our ORT (mean 212 min, range 170-310 min) [19,21,22,23,24,25,26]. …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

et al. 2015

View full text Add to dashboard Cite

Introduction: Most commonly ureterovaginal fistula occurs due to surgical injury inflicted to the distal ureter and because of gynaecological procedures. Open surgical repair is a standard procedure and commonly involves ureteroneocystostomy. Methods: We retrospectively reviewed data of 9 patients, who underwent laparoscopic extravesical Lich-Gregoir ureteroneocystostomy using the psoas hitch procedure for ureterovaginal fistulas following hysterectomy during the period December 2012-August 2014. Transperitoneal laparoscopic ureteroneocystostomy was performed in all cases. Results: The mean operative time was 212 min (range 170-310) and estimated blood loss was 108 ml (range 70-150). Average hospital stay was 5.7 days. Follow-up time was from 6 to 26 months. Postoperative intravenous urography was done after 3 months, which showed patent anastomosis in 8 patients except for 1 patient who had nonvisualization of the ipsilateral renal moiety. Voiding cystogram done at 3 months showed no leakage in all patients. In the postoperative period, 1 patient had recurrent ipsilateral pyelonephritis 2 weeks after surgery, while another patient had febrile UTI. Apart from these no major complications were observed. Conclusion: Laparoscopic ureteroneocystostomy with psoas hitch can be performed safely with a success rate compared to that of open surgery but with less morbidity and quick convalescence.

show abstract

“…Although ORT was longer initially, with growing experience there was an improvement in our ORT (mean 212 min, range 170-310 min) [19,21,22,23,24,25,26]. …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

et al. 2015

View full text Add to dashboard Cite

show abstract

“…[3,[6][7][8][9][10][11][12][13][14][15][16][17] Rassweiler et al [7] observed longer operative time (253 minutes vs. 220 minutes), shorter hospital stay (8 days vs.17 day) with 100% successs rate in the [11] 1 210 3 90 50 mg morphine…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic ureteral reimplantation with Boari flap for the management of long- segment ureteral defect: A case series with review of the literature

Bansal¹,

Sinha²,

Jhanwar³

et al. 2017

Turkish Journal of Urology

View full text Add to dashboard Cite

Objective: The incidence of ureteral stricture is showing a rising trend due to increased use of laparoscopic and upper urinary tract endoscopic procedures. Boari flap is the preferred method of repairing long-segment ureteral defects of 8-12 cm. The procedure has undergone change from classical open (transperitoneal and retroperitoneal) method to laparoscopic surgery and recently robotic surgery. Laparoscopic approach is cosmetically appealing, less morbid and with shorter hospital stay. In this case series, we report our experience of performing laparoscopic ureteral reimplantation with Boari flap in 3 patients. Material and methods:This prospective study was conducted between January 2011 December 2014. The patients with a long-segment ureteral defect who had undergone laparoscopic Boari flap reconstruction were included in the study. Outcome of laparoscopic ureteral reimplantation with Boari flap for the manangement of long segment ureteral defect was evaluated. Results:The procedure was performed on 3 patients, and male to female ratio was 1:2. One patient had bilateral and other two patient had left ureteral stricture. The mean length of ureteral stricture was 8.6 cm (range 8.2 -9.2 cm). The mean operative time was 206 min (190 to 220 min). The average estimated blood loss was 100 mL (range 90-110 mL) and mean hospital stay was 6 days (range 5 to 7 days). The mean follow up was 19 months (range 17-22 months). None of the patients experienced any complication related to the procedure in perioperative period. Conclusion:Laparoscopic ureteral reimplantation with Boari flap is safe, feasible and has excellent long term results. However, the procedure is technically challenging, requires extensive experience of intracorporeal suturing.

show abstract

“…a distal stump of more than 1 cm, has not been previously described in the literature because, in most cases, a ureteral re-implantation has been performed when there is no portion of the distal ureter that is large enough for end-to-end anastomosis. 2,3,9 Intramural ureter dissection using a ureteral stent for guidance is simple and straightforward; we can collect up to 1 cm of viable and healthy distal ureter, facilitating endto-end anastomosis. Our technique also reduces morbidity and surgical time compared to other techniques, including direct re-implantation of the ureter into the bladder, 2,3,10 and eliminates the need for an anti-reflux mechanism.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic dissection of the intramural ureter to repair a complete transection of the distal ureter: Initial experience with a new minimally invasive technique that preserves the anatomy of the urinary tract

Juárez-Soto

Arroyo-Maestre

Soto-Delgado

et al. 2014

CUAJ

View full text Add to dashboard Cite

We report 2 patients with ureteral injury after a simple total laparoscopic hysterectomy for uterine myoma with a complete resection of the distal ureter. One patient had unilateral injury and the other 2 patients had bilateral injury. The surgical laparoscopic repair procedure was carried out 3 to 5 days after the injury. Surgery involved intramural dissection of the distal ureteral stump to expose at least 1 cm of the ureter, percutaneous ureteral stent placement, elimination of tension between the proximal ureter and the dissected distal stump, end-to-end anastomosis, and reinsertion of the distal ureter into the bladder muscle layer, which was previously dissected for the anastomosis.

show abstract

Laparoscopic Ureteral Reimplantation: A Single Center Experience and Literature Review

Cited by 39 publications

References 10 publications

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

Laparoscopic ureteral reimplantation with Boari flap for the management of long- segment ureteral defect: A case series with review of the literature

Laparoscopic dissection of the intramural ureter to repair a complete transection of the distal ureter: Initial experience with a new minimally invasive technique that preserves the anatomy of the urinary tract

Contact Info

Product

Resources

About