Case report: laparoscopic Boari flap.
A Boari flap may be required to bridge long defects of the middle and lower ureter to the bladder. Laparoscopic construction of a Boari flap was performed in a patient with a ureteral stricture secondary to iatrogenic injury. The salient steps performed were spatulation of the transected ureteral end, fashioning of a Boari flap from the bladder, end-to-side anastomosis of the ureter to the flap, placement of a stent with the aid of a suction cannula, and closure of the flap over the stent. A Boari flap can be accomplished laparoscopically with minimal morbidity.
Modi
Pranjal
P
Department of Urology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, India. dr_panjal@yahoo.com
Goel
Rajiv
R
Dodia
Sharad
S
Devra
Amit
A
D000328:Adult; D000714:Anastomosis, Surgical; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D010535:Laparoscopy; D008297:Male; D015607:Stents; D013524:Surgical Flaps; D014513:Ureter / Q000601:surgery*; D018666:Ureteroscopy / Q000009:adverse effects; D001743:Urinary Bladder / Q000601:surgery*