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[Pelvectomy and continent diversion].

M P Henriet1

  • 1Centre Urologique de la Clinique Protestante, Lyon.

Acta Urologica Belgica
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

Continent urinary diversion and bladder replacement techniques, developed by Kock and Camey, show promising results. Over 145 procedures were performed, with a low mortality rate and manageable complications, indicating the efficacy of these advanced surgical methods.

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Area of Science:

  • Urology
  • Surgical Innovation
  • Reconstructive Surgery

Context:

  • Continent urinary diversion and bladder replacement are advanced surgical procedures.
  • The Kock pouch and Camey procedures represent significant developments in this field.
  • This study evaluates a large series of these reconstructive surgeries.

Purpose:

  • To assess the outcomes of continent urinary diversion and bladder replacement.
  • To report on the early mortality and complication rates associated with these procedures.
  • To analyze the surgical revisions required after Kock pouch construction.

Summary:

  • 145 Kock pouches were constructed over 66 months for various urinary diversions and bladder replacements.
  • Early postoperative mortality was 4.13% (6/145 patients).

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  • Postoperative complications occurred in 12.23% (17/139 patients), with 10.70% (15/139) requiring surgical revision, primarily for intestinal obstructions.

    • Impact:

    • These findings contribute to understanding the safety and efficacy of Kock pouch procedures.
    • The data provides valuable insights for surgeons performing continent urinary diversion and bladder replacement.
    • This study highlights the importance of managing potential complications like intestinal obstructions.