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Related Experiment Videos

Ureteric replacement with Meckel's diverticulum.

Judith Adams1, Nenad Djakovic, Christian Gilfrich

  • 1Department of Urology, University of Heidelberg, 69120 Heidelberg, Germany.

BJU International
|November 10, 2006
PubMed
Summary
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Meckel

Area of Science:

  • Urology
  • Surgical Innovation
  • Gastrointestinal Surgery

Background:

  • Severe ureteric strictures can obstruct the upper urinary tract.
  • Recurrent reconstructive procedures may be necessary for ureteric defects.
  • Alternative surgical techniques are explored for complex ureteric reconstruction.

Observation:

  • Four patients with severe ureteric strictures underwent ureteric replacement using Meckel's diverticulum.
  • Patients aged 3-64 years at the time of operation.
  • Meckel's diverticulum bridged ureteric defects after prior reconstructive failures.

Findings:

  • Mean follow-up of 36 months showed no surgical complications, except for mucus production in one patient.
  • All patients maintained normal renal function post-surgery.

Related Experiment Videos

  • Successful use of invaginated Meckel's diverticulum for reflux protection in one case.

    • Implications:

    • Meckel's diverticulum is a viable and ideal intestinal substitute for ureteric defects.
    • Advantages include its inherent blood supply, mobility, and minimal impact on functional bowel length.
    • This technique offers a promising solution for challenging ureteric reconstructions.