Ureteral Substitution Using Appendix for a Ureteral Defect Caused by a Retroperitoneal Rhabdomyosarcoma in a Child

Yoon, Byung Il; Hong, Chan Gyu; Kim, Seol; Ha, U-Syn; Chung, Jae Hee; Kim, Sae Woong; Cho, Yong-Hyun; Sohn, Dong Wan

doi:10.4111/kju.2014.55.1.77

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…3,5 Appendix although appears a gold standard and ideal for right sided replacements owing to its adequate narrow lumen for substitution in children and its good mesentry and pedicled blood supply there are limitations to it. 6 Sometimes inadequate length of appendix and its pedicle or its twisting or drag on trying to use it on left side can limit its usage. Also incrustations and stone formation have been reported with it.…”

Section: Discussionmentioning

confidence: 99%

Revisiting ureteral substitution and its outcome in children: single centre 13 year experience

Vageriya¹,

Mane²,

Daginawala³

et al. 2020

Int J Contemp Pediatr

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Background: Objective of this study is to explore various ureteric substitutes in pediatric age group and their outcomes.Methods: Retrospective analysis was done from 2003-2016, of all patients operated in this hospital that had undergone ureteral replacement. Thirteen such patients (5 from initially published paper (1) and 8 new patients) were followed up to find conduit patency, renal function and related complications with their outcomes assessed.Results: Ureteric substitution was done in 8 patients. Age of the patient ranged from 4 months to 8 years. Out of these for 2 patients monti tube was created; one with colon and other jejunum, rest of the 6 patient appendix was used. On follow up one patient had early appendico-ureteral leak requiring re-anastomosis and one patient had partial obstruction at 6 months corrected by dividing mesentry and untwisting appendix. With a mean follow up of 3.8 years all patients have preserved renal functions and drainage present. Also 5 patients of ureteral substitution performed at this institution and published prior were followed up with mean follow up of 10.4 years having no complaints with preserved function and unobstructed drainage.Conclusions: This small series supports that not only appendix and ileum but even colon as well as jejunum should be considered as Monti’s tube for ureteric replacement, when confronting with short ureter in paediatric age group.

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Section: Discussionmentioning

confidence: 99%

Revisiting ureteral substitution and its outcome in children: single centre 13 year experience

Vageriya¹,

Mane²,

Daginawala³

et al. 2020

Int J Contemp Pediatr

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“…Первичное злокачественное поражение мочеточника встречается реже [4,5]. Гораздо чаще происходит сдавление мочеточников извне опухолевыми массами забрюшинного пространства без непосредственного врастания в стенку мочеточника [6][7][8]. Однако лидирующее место среди причин поражения мочеточника продолжают занимать ятрогенные повреждения: 2 / 3 из них встречаются при гинекологических вмешательствах, что объясняется интимным прилежанием маточных сосудов к мочеточникам; повреждения при урологических операциях составляют лишь 14 % наравне с хирургическим лечением органов брюшной полости [9].…”

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Left-sided flap transposition of the appendix for urethroplasty in oncourology

et al. 2022

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The ureter is a unique tubular structure, extremely sensitive to exogenous influences and directly affects to renal function. The injuries of the ureter remain one of the most difficult problems requiring an extraordinary surgical approach in urology. Extended strictures and obliterations of the ureters of various origins in the absence of timely treatment are accompanied by irreversible changes in the upper urinary system and renal parenchyma. Obstructive uroteropathy with transformation of the ureter wall, pelvis and kidney parenchyma in the case of oncology disease is caused directly by the tumor itself or invasive growth or complication of treatment. Therefore, the determination of indications and algorithms for ureteral reconstruction are cornerstone problem in urology daily practice.

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