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Related Experiment Videos

Umbilical vein as ureteral replacement.

K F Klippel, R Hohenfellner

    Investigative Urology
    |May 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Umbilical cord vein grafts show promise for ureter replacement in dogs, with a 60% success rate. This embryonic tissue exhibits low antigenicity, suggesting suitability for transplantation in urologic reconstructive surgery.

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    Area of Science:

    • Urology
    • Transplantation Biology
    • Biomaterials Science

    Background:

    • Ureteral reconstruction presents challenges due to the ureter's specific anatomical and functional requirements.
    • Biomaterial-based grafts are explored as alternatives for ureteral replacement, aiming to overcome limitations of autografts and synthetic materials.

    Purpose of the Study:

    • To evaluate the efficacy and biocompatibility of fresh Rhesus monkey or human umbilical cord vein as a substitute for canine ureteral segments.
    • To assess the long-term histological changes and functional outcomes of umbilical cord vein grafts in a canine model.

    Main Methods:

    • Ureteral segments in 17 dogs were replaced with fresh umbilical cord vein grafts (Rhesus monkey or human).
    • Grafts involved either the middle one-third or the entire ureter.

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  • Post-operative assessment included intravenous pyelography, radiographic evaluation of kidneys, and long-term histological analysis.
  • Main Results:

    • An overall success rate of 60% (10/17 dogs) was achieved.
    • One dog demonstrated an excellent intravenous pyelogram.
    • Histological examination revealed preserved umbilical vein structure with urothelial replacement of endothelium after 2 years, indicating low antigenicity.

    Conclusions:

    • Fresh umbilical cord vein serves as a viable biomaterial for ureteral replacement in dogs.
    • The low antigenicity of umbilical cord vein makes it a promising candidate for transplantation in urologic reconstructive procedures.
    • Long-term studies show structural integrity and successful tissue integration of the grafts.