By Karl J. Kreder, Anthony R. Stone
ISBN-10: 0203341023
ISBN-13: 9780203341025
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Extra info for Urinary diversion
Sample text
All of the abovementioned ileocecal neobladders were constructed in a tubularized fashion. One patient required an artificial urinary sphincter for neurogenic reasons, while the other patient was continent during the day but required an adult diaper overnight. 161 This form of urinary diversion is not commonly used today because of significant mucus production from the colonic mucosa. 76 They discovered that their patients with detubularized ileal segments had a less morbid course than patients in whom segments of sigmoid were used; in fact, only two of four of their sigmoid patients survived the postoperative course.
In 8–10% of patients it is almost completely invested with peritoneum, thus possessing a distinct mesocolon. A plane can be relatively easy developed between the mesentery anteriorly and the retroperitoneum posteriorly, and the colon can easily be drawn medially along with its supplying vessels.
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Urinary diversion by Karl J. Kreder, Anthony R. Stone
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