METHOD FOR URETER IMPLANTATION INTO URINARY RESERVOIR

摘要

FIELD: medicine.SUBSTANCE: serous and muscular layers are separated on a prepared urinary reservoir. A plate of the intestinal mucosa 3×1-2 cm is formed. A long incision of the length corresponding to the ureter section is performed in its distal portion. An interrupted suture is applied between the urinary reservoir mucosa and the stented ureter. An anastomosis is covered with mobilised serous-muscle flaps. The flaps are sutured together with interrupted sutures. The first suture covers the anterior wall of the ureter at 0.5-1 cm from the anastomosis.EFFECT: method enables simplifying the surgical technique, reducing a risk of postoperative anastomosis inconsistency, vesicoureteral reflux, stenosis and stricture by forming the direct ureter-reservoir anastomosis and reinforcing its valve mechanism.2 ex