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.
Fetal Treatment Program, University of California, San Francisco 94143-0510.
M T
MT
Longaker
M R
MR
Harrison
J C
JC
Langer
T M
TM
Crombleholme
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*