[Use of the Indiana-type continent reservoir: review of our series].
OBJECTIVE
To report the experience of the Hospital General de Mexico on the use of the Indiana continent urinary reservoir in cystectomized patients.


METHODS
From January 1995 to September 1997, 32 Indiana continent urinary reservoirs were performed in 22 men and 12 women with a median age of 46.1 years. Operating time, immediate, early and late complications, reservoir function and capacity, and social integration of the patient after the procedure were evaluated.


RESULTS
The most frequent underlying disease was bladder cancer followed by neurogenic bladder. The mean operating time was 5.5 hours for performing cystectomy and the Indiana pouch. The most frequent immediate, early and late complications were urinary tract infection (12 patients, 35%), metabolic acidosis (4 patients, 11%), one case of total pouch necrosis, one case of pouch lithiasis, one case of uretero-colonic anastomosis dehiscence and two cases of septic shock. Reservoir function was evaluated clinically, radiologically and urodynamically.


CONCLUSIONS
The Indiana continent urinary reservoir is a good alternative in patients undergoing cystectomy, regardless of the underlying cause. Technical dexterity significantly reduces the operating time and surgical complications.
Gutiérrez Godinez
F
F
Servicio de Urología, Hospital General de México, D.F. México.
Reyna Pérez
R
R
Espinoza Valverde
F
F
Torres Saunders
C
C
Barrios Rodríguez
F
F
de Silva Gutiérrez
A
A
Manzanilla García
H
H
Hernández Fernández
C
C
D000138:Acidosis / Q000453:epidemiology / Q000209:etiology; D000328:Adult; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D003106:Colon / Q000601:surgery*; D015653:Cystectomy; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D010342:Patient Acceptance of Health Care; D011183:Postoperative Complications; D012772:Shock, Septic / Q000453:epidemiology / Q000209:etiology; D013529:Surgical Wound Dehiscence / Q000453:epidemiology; D013997:Time Factors; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000601:surgery; D016476:Urinary Reservoirs, Continent; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000209:etiology
Uso del reservorio continente tipo Indiana: revisión de nuestra serie.