AUGMENTATION CYSTOPLASTY - 11/09/11
Résumé |
The past 15 years have been witness to an explosion in the number of reconstructive procedures using bowel in the urinary tract. Bladder substitution and bladder preservation procedures have generated the most interest. First reported by von Mikulicz26 in 1899 and subsequently by Couvelaire5 in 1950, use of bowel segments currently includes complete orthotopic substitution. Surgeons can use nearly any segment of bowel, from the stomach to the sigmoid colon, for reconstructive procedures. Yet, there remains no hard scientific evidence to support the use of one intestinal segment over another. As with many concepts in medicine, one must rely on clinical experience while laboratory models and other advancements develop. This article attempts to address bladder reconstruction by enterocystoplasty. We review the indications for augmentation, types of procedures available, and the early and late complications.
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Address reprint requests to John J. Smith III, MD Department of Urology Lahey Hitchcock Medical Center 41 Mall Road Burlington, MA 01805 |
Vol 24 - N° 4
P. 745-754 - novembre 1997 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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