Appendicovesicostomy: a new technique for bladder diversion during reconstruction of cloacal exstrophy.
Urinary tract diversion in the reconstruction of cloacal exstrophy presents a difficult problem. Many methods have been used, but none has been found to be ideal. We describe a simple technique that incorporates the ileocecal plate in the bladder augmentation, and uses the appendix as a conduit for urinary diversion. This technique offers the advantages of primary closure, effective urinary drainage without tubes, and simplicity of bowel reconstruction with preservation of maximal absorptive surface.
Longaker
M T
MT
Fetal Treatment Program, University of California, San Francisco 94143-0510.
Harrison
M R
MR
Langer
J C
JC
Crombleholme
T M
TM
D001065:Appendix / Q000601:surgery*; D001746:Bladder Exstrophy / Q000601:surgery*; D002988:Cloaca / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D014547:Urinary Diversion / Q000379:methods*