CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Rozhl. Chir., 2005, roč. 84, č. 1, s. 46–51. |
Reconstruction
Surgical Procedures for Iatrogenic Injuries to the Urether. Examples of Uncommon,
However Successful Approaches to their Management Šafařík L.1, Dvořáček J.1, Ťuíková J.1, Ryšavá R.1, Novák K.1, Pavlík I.1, Stolz J.1, Vobořil V.1 1Urologická klinika 1. LF UK a VFN Praha, přednosta prof. MUDr. J. Dvořáček, DrSc. 2Klinika nefrologie 1. LF UK a VFN Praha, přednosta prof. MUDr. V. Tesař, DrSc. 3Urologické oddělení NsP, Kolín, přednosta primář MUDr. V. Vobořil |
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Summary: The authors present several less usual reconstructions of ureters after the primary iatrogenic lesions. The appropriate ureteric
capacity to drain the urine after previous injury is quite demanding and hence before the definitive decision is made the
wholesome health status of the patient is to be considered and all possible solutions should be weighted. The efficient primary
urinary diversion above the lesion is unavoidable. The genuine reconstruction could be deferred by several weeks or months
in the view that in some cases the least invasive (endourologic) methods can completely avoid the need of open surgery in difficult
adhesions after previous major surgery.
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