STOMAL CONSTRUCTION, COMPLICATIONS, AND RECONSTRUCTION - 11/09/11
Résumé |
Historically, intentional urinary diversion was first performed by Simon23 in 1852 using a cutaneous ureterostomy following iatrogenic ureteral transection. Vérhoogen28 in 1908 attempted to use the appendix for a continent urinary stomal diversion but was unsuccessful.
Cutaneous ureterostomy remained the standard for urinary diversion until Coffey5 and Goodwin et al10 developed and improved ureterosigmoidostomy, respectively. This operation was in response to the high rate of urethral stomal stenosis observed with cutaneous ureterostomy whenever externalized onto the flank or the abdomen.
The development of the renal stoma conduit by Bricker2 and continent diversion by Gilchrist et al9 in the 1950s revolutionized urinary diversion. These concepts of using an ileal or colonic segment, respectively, changed the management of urinary diversions and permitted the evolution of alternative incontinent and continent urinary diversions. This, in turn, led to catheterizing stomas fashioned from ileum,26 ureter,1 stomach,11 fallopian tube,25 and appendix.19
We present a review of stomal complications and their management. To accomplish this goal, we review techniques used for planning and creating the stomas for both continent reservoirs and incontinent conduits.
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Address reprint requests to Michael J. Malone, MD Department of Urology Lahey Hitchcock Medical Center 41 Mall Road Burlington, MA 01805 |
Vol 24 - N° 4
P. 729-733 - novembre 1997 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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