Calculus formation and ureteral obstruction after ileal conduit construction using autosuture stapling device.
A case is presented of ureteral obstruction by a calculus-encrusted staple in a patient undergoing urinary diversion. This leads us to recommend that when an ileal conduit is constructed using the autosuture stapling device the staple suture line be excised from both ends of the isolated loop and the butt end of the ileal conduit be closed with absorbable material.
Department of Surgery, Duke University Medical Center, Durham, North Carolina.
G D
GD
Webster
H H
HH
Henry
E M
EM
Tomlin
D000328:Adult; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D013528:Surgical Staplers; D014514:Ureteral Calculi / Q000209:etiology*; D014517:Ureteral Obstruction / Q000209:etiology*; D014547:Urinary Diversion / Q000009:adverse effects*