Image-guided ureteral reconstruction using rendezvous technique for complex ureteric transection after gunshot
Mohammad Arabi1, Abdulaziz Mat'hami1, Mohammad T Said2
1Department of Medical Imaging, Interventional Radiology Division, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Avicenna Journal of Medicine
|March 9, 2016
Summary
This study presents a minimally invasive fluoroscopy-guided rendezvous technique for repairing total ureteric transection caused by gunshot injuries. This approach offers a safe and effective alternative to complex surgeries for complex ureteral injuries.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Trauma Surgery
Background:
- Complex ureteric transection, especially from gunshot injuries, presents significant management challenges due to anatomical distortion and tissue loss.
- Traditional surgical repair can be complex and may lead to complications.
Observation:
- Two cases of total ureteric transection resulting from gunshot injuries were successfully managed.
- The procedures involved a fluoroscopy-guided rendezvous technique and double J stent placement.
Findings:
- The fluoroscopy-guided rendezvous procedure combined with double J stent placement proved to be a safe and effective method for repairing complete ureteral transection.
- This minimally invasive approach successfully restored ureteral continuity in both reported cases.
Implications:
- This technique offers a viable, less invasive alternative for managing complex ureteral injuries, potentially reducing the need for extensive open surgeries.
- The findings suggest that fluoroscopy-guided rendezvous can be a valuable tool in the armamentarium for treating traumatic ureteral defects.
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