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Reconstruction of extensive upper ureteral damage
1Department of Urologic Surgery, The Edith Wolfson Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Holon, Israel. atsivian@hotmail.com
The Journal of Urology
|December 11, 2003
Summary
The Heineke-Mikulicz maneuver effectively reconstructs upper ureteral damage, avoiding complex surgeries. This technique offers a valuable solution for challenging ureteral injuries.
Area of Science:
- Urology
- Surgical Techniques
Background:
- Ureteral injuries, particularly in the lumbar region, present significant surgical challenges.
- Reconstruction of upper ureteral damage requires specialized techniques to avoid complications.
Observation:
- A case of ureterocutaneous fistula following retroperitoneal tumor removal necessitated ureteral reconstruction.
- The Heineke-Mikulicz maneuver was employed to bridge the gap between severed ureteral ends.
Findings:
- Successful ureteral continuity was achieved using the Heineke-Mikulicz maneuver.
- This approach obviated the need for more invasive surgical procedures.
Implications:
- The Heineke-Mikulicz maneuver is a recommended technique for ureteral reconstruction.
- It represents a valuable addition to the urological surgical toolkit for managing complex ureteral defects.