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Ileal Pouch with an Umbilical Stoma: A Continent Mechanism Created by the Extramural Tunnel Technique
Author(s) -
Kato Haruaki,
Igawa Yasuhiko,
Nishizawa Osamu
Publication year - 1998
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.1998.tb00395.x
Subject(s) - pouch , medicine , stoma (medicine) , anastomosis , fibrous joint , suture line , surgery , ileum , urinary diversion , cystectomy , bladder cancer , cancer
We present an initial experience of creating an extramural continent valve in the ileal pouch in 4 patients who required continent urinary diversion. Using the appendix or a tapered ileal segment, the continent valve was created by the extramural tunnel technique along the anterior suture line of the pouch to facilitate the umbilical anastomosis. All patients were continent postoperatively with easy catheterization. This technique can provide a simple and effective continent pouch formed entirely from the ileum.