Ileal conduit urinary diversion in children.
In the evaluation of the morbidity associated with ileal conduit urinary diversion in children, a retrospective analysis of the complications in 125 such children was done. When retroperitoneal Penrose drainage was used or when additional surgical procedures were performed, a significantly increased number of early postoperative complications were found. Conversely, when peristomal skin preconditioning was accomplished or when a single layer ureteroileal anastomosis was constructed, postoperative morbidity was markedly reduced. Ileal conduit urinary diversion remains the most satisfactory method of permanent urinary diversion in children.
D000008:Abdominal Neoplasms / Q000401:mortality; D000293:Adolescent; D001932:Brain Neoplasms / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D007223:Infant; D007415:Intestinal Obstruction / Q000209:etiology; D008297:Male; D009362:Neoplasm Metastasis; D011183:Postoperative Complications / Q000401:mortality; D011300:Preoperative Care; D011471:Prostatic Neoplasms / Q000601:surgery; D012189:Retrospective Studies; D012208:Rhabdomyosarcoma / Q000601:surgery; D013530:Surgical Wound Infection / Q000209:etiology; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects; D014549:Urinary Incontinence / Q000601:surgery