New techniques for construction of efferent conduits based on the mitrofanoff principle

Total Bilateral Ureteral Replacement for Stenosing Ureteritis in Henoch–Schönlein Purpura

“…There are several technical possibilities available to achieve a nonrefluxing ileovesical anastomosis, but the procedure using the intussusceptive ileal nipple, derived from extensive experience with the Koch continent ileostomy, has offered many advantages. However, currently there is the alternative of a reconfigured colon substitute or ileal tube similar to the Monti procedure [13]. Both methods have the advantage of using a smaller conduit diameter, the possibility of intravesical implantation and of limiting the likelihood of metabolic disorder.…”

Ten Years’ Experience with the Submucosally Embedded in situ Appendix in Continent Cutaneous Diversion

“…Unfortunately, all options are based on rather complex maneuvers. Different bowel and gastric segments have been tapered, plicated, imbricated, intussuscepted or, most recently and promising, transversely retubularized to form a catheterizable channel [9, 11, 12, 13, 28, 29, 30, 31, 32]. …”

“…If the appendix had been removed beforehand or was inappropriate for use in reconstructive surgery additional 10 cm of ileum were excluded, intussuscepted and fixed in the ileocecal valve (141 patients) [9, 10]. The Yang–Monti technique (transversely retubularized ileum) [11, 12]and a Thüroff–Lampel tube (full–thickness bowel flap) [13]have been used in three salvage procedures with major loss of bowel in earlier operations.…”

Continent Ileal Pouch Using the Serous–Lined Principle

“…Although the technique is called ‘Monti’s procedure’ [6], to our knowledge, this was first described by Yang [7]in his original ileal pouch. We applied this technique to our ileal pouch and obtained excellent results.…”