[Ureteral replacement by jejunoplasty. New concepts, new techniques (author's transl)].
New concepts and new techniques permit the introduction in the urinary tract, of long or short segments of jejunum cut in a specific fashion. Their dynamic qualities allow not only perfect adaptation to a normal urinary tract, but also stimulate a rapid recuperation of pathological ureters. In addition to the dynamic qualities, the success of this is due to three main reasons: a good preoperative intestinal preparation; a new digestive suture utilised in the ante-mesenteric suture of the jejunoplasty; and finally, the introduction of a new type of running suture for the end to end anastomosis of ureter to jejunum. The anastomosis being leak-proof, the abdominal morbidity is non existent; we can envisage the suppression of catheters and drains. A preliminary study of three cases demonstrates the possible extension of the technique to long ureteral replacement with anti-reflux bladder reimplantation.
D005769:Gastrointestinal Motility; D006801:Humans; D007583:Jejunum / Q000502:physiology / Q000601:surgery*; D008722:Methods; D008954:Models, Biological; D013536:Suture Techniques; D013537:Sutures; D014513:Ureter / Q000502:physiology / Q000601:surgery*; D014515:Ureteral Diseases / Q000601:surgery*; D014567:Urography
Remplacement urétéral par jéjunoplastie. Nouveaux concepts, nouvelles techniques par