[Urinary diversion in infants].
The article generalizes the experience in the treatment of over 500 children, aged from hours to 5 months, with various developmental anomalies of the urinary system. Different variants for draining off the urine were applied in 142 patients. Urethral, vesical, and supravesical methods are characterized. The indications for their use in the newborns and infants are formulated. Preference is given to the supravesical methods, among which T-ureterocutaneostomy and suspended ureteropyelostomy are optimal. The operative techniques are described. Complications occurred in 10 children: urinary dermatitis (3), cicatrization of the stoma (2), separation of the sutures of the main wound (2), stenosis of the stoma (1). The author concludes that draining off urine in the newborn with obstructive uropathy is advisable before radical correction of the anomaly.
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D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D014519:Ureterostomy / Q000379:methods; D014546:Urinary Catheterization / Q000379:methods; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods*; D014551:Urinary Tract / Q000002:abnormalities* / Q000601:surgery; D014570:Urologic Diseases / Q000601:surgery*
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