Open AccessLaparoscopic appendicular interposition ureteroplasty for mid-ureteral defect
Author(s) -
Datson P. George,
Vigneswara Srinivasan Sockkalingam Venkatachalapathy,
George P. Abraham
Publication year - 2021
Publication title -
indian journal of urology/indian journal of urology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/iju.iju_117_20
Subject(s) - vermiform , medicine , appendix , surgery , laparoscopy , general surgery , paleontology , biology
Patients with ureteral defects and salvageable renal units present a challenge in reconstructive urology. Vermiform appendix interposition is an option in the management of mid-ureteral defects that can not be managed by primary ureteroureterostomy. Laparoscopic appendicular interposition ureteroplasty is a technically demanding and an infrequently attempted procedure. We present a video demonstration of laparoscopic appendicular interposition for a 4-cm long right mid-ureteral defect in an elderly male. Laparoscopic appendicular interposition ureteroplasty for mid-ureteral defects can provide good long-term functional outcomes with results comparable to an open approach and has the advantage of reduced morbidity.