title: Laparoscopic Mitrofanoff procedure using single 'U-Stitch' anastomosis: a way to make it simple.
abstract: OBJECTIVE
  to describe and incorporate a modification of the fully laparoscopic Mitrofanoff (LM) procedure with the aim of diminishing operative time and technical difficulties, and to reproduce functional results.
  
  
  METHODS
  Retrospective review of six patients with voiding dysfunction with indication for clean intermittent catheterization who did not require bladder augmentation and who underwent a fully LM procedure between January and November 2011.
  
  
  RESULTS
  The mean operative time was 183.3 min with a mean hospital stay of 6.15 days. No complications were recorded during the surgical procedure. Postoperative hematuria is the most frequent complication associated with this technique. One patient presented appendicovesical anastomotic leak that resolved spontaneously after 8 days with abdominal drainage. There were no other postoperative complications on an average 6.8-month follow up.
  
  
  CONCLUSIONS
  We believe fully LM is a feasible and reproducible approach. The U-Stitch appendix implantation technique reduces total operative time and makes the procedure technically easier.
authors.affiliation: Urology Department, Hospital de Pediatría Juan P. Garrahan, Combate de los Pozos 1881, Ciudad de Buenos Aires, Argentina. santiweller@gmail.com
authors.forename: Santiago
authors.initials: S
authors.lastname: Weller
authors.forename: Juan I
authors.initials: JI
authors.lastname: Bortagaray
authors.forename: Juan P
authors.initials: JP
authors.lastname: Corbetta
authors.forename: Rocío Jiménez
authors.initials: RJ
authors.lastname: Corro
authors.forename: Víctor
authors.initials: V
authors.lastname: Durán
authors.forename: Cristian
authors.initials: C
authors.lastname: Sager
authors.forename: Carol
authors.initials: C
authors.lastname: Burek
authors.forename: Juan C
authors.initials: JC
authors.lastname: Lopez
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D061646:Operative Time; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*