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Sažetak. U 19. stoljeću učinjen je prvi pokušaj supstitucije mokraćnog mjehura kada je kapacitet mokraćnog mjehura povećan uporabom rektuma. Nakon toga je bio niz pokušaja uporabe i tankog i debelog crijeva u istu svrhu, a najbolji rezultati dobiveni su uporabom ileuma. U osnovi se korištenje crijevnog segmenta unutar uropoetskog sustava može podijeliti na derivacije (ili diverzije) i supstitucije. Derivacije podrazumijevaju napuštanje dijela uropoetskog sustava uz njegovo završavanje na nefiziološkim otvorima. Dijele se na privremene i trajne. Supstitucije označavaju zamjenu dijela uropoetskog sustava s crijevnim segmentom. U ovom preglednom radu prikazat ćemo najznačajnije činjenice u vezi s urinarnim derivacijama i supstitucijama.Ključne riječi: komplikacije; urinarne derivacije; urinarne supstitucije Abstract. The first attempt to made substitution of the one part of urinary system was made in the 19 th century when the rectum was used to increase capacity of urinary bladder. After that a numerous procedures using a part of colon and small bowel was used in the urinary system and the best result was made with using ileum. The using a part of intestinum in the urinary system can be divided on urinary diversion and substitution. Urinary diversion was characterized with abandoning of part of urinary system and its finishing in the unnatural orificies. It can be divided as temporary and permanent diversion. Substitution mean replacement of part of urinary system with part of intestinum. In this review article we will present the most important facts about urinary derivations and substitutions.
Sažetak. U 19. stoljeću učinjen je prvi pokušaj supstitucije mokraćnog mjehura kada je kapacitet mokraćnog mjehura povećan uporabom rektuma. Nakon toga je bio niz pokušaja uporabe i tankog i debelog crijeva u istu svrhu, a najbolji rezultati dobiveni su uporabom ileuma. U osnovi se korištenje crijevnog segmenta unutar uropoetskog sustava može podijeliti na derivacije (ili diverzije) i supstitucije. Derivacije podrazumijevaju napuštanje dijela uropoetskog sustava uz njegovo završavanje na nefiziološkim otvorima. Dijele se na privremene i trajne. Supstitucije označavaju zamjenu dijela uropoetskog sustava s crijevnim segmentom. U ovom preglednom radu prikazat ćemo najznačajnije činjenice u vezi s urinarnim derivacijama i supstitucijama.Ključne riječi: komplikacije; urinarne derivacije; urinarne supstitucije Abstract. The first attempt to made substitution of the one part of urinary system was made in the 19 th century when the rectum was used to increase capacity of urinary bladder. After that a numerous procedures using a part of colon and small bowel was used in the urinary system and the best result was made with using ileum. The using a part of intestinum in the urinary system can be divided on urinary diversion and substitution. Urinary diversion was characterized with abandoning of part of urinary system and its finishing in the unnatural orificies. It can be divided as temporary and permanent diversion. Substitution mean replacement of part of urinary system with part of intestinum. In this review article we will present the most important facts about urinary derivations and substitutions.
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