Pneumovesical ureteric reimplantation using T-fastener: A modification for bladder wall anchorage

Abstract

In our experience, this technique is simple to learn and transferrable. It decreases intraoperative complications and helps to climb the learning curve.

A Novel Technique for Bladder Wall Fixation in Pneumovesicoscopic Surgery: T-Bar

“…8,9 Lau et al reported bladder suspension with a T-shaped commercially available single-use equipment without any complication related to it, but the cost and availability of the device are the factors restricting its use. 5 Home made T-bar system is inexpensive, simple, and reliable. The ureteral catheter at the end of the T-bar prevents bladder tearing by distributing the traction force on the wider surface of the bar, provides more stable fixation for bladder wall and for the working ports.…”

“…[1][2][3][4] One of the crucial steps of pneumovesicoscopy is fixing the bladder wall to the abdominal wall as failure of this step may result in complications, termination of pneumovesicoscopy, and conversion to open surgery. 5 Some special devices such as locking trocars, ports with umbrella, and single-use lifting equipments have been commercially introduced for bladder fixation. 2,5 Although they are very useful and practical, they have not gained widespread acceptance.…”

“…5 Some special devices such as locking trocars, ports with umbrella, and single-use lifting equipments have been commercially introduced for bladder fixation. 2,5 Although they are very useful and practical, they have not gained widespread acceptance. Significant cost of these devices prevent their widespread use as many other simple techniques without using a special device or equipment are described to reduce the cost of the bladder fixation during pneumovesicoscopy.…”