Related Experiment Videos
Pneumovesical ureteric reimplantation using T-fastener: A modification for bladder wall anchorage
Chin Tung Lau1, Lawrence Chuen Leung Lan1, Kenneth Kak Yuen Wong1
1Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong.
Journal of Pediatric Urology
|April 5, 2017
Summary
A novel T-fastener technique simplifies bladder anchoring during pneumovesical ureteric reimplantation (PUR). This method reduces intraoperative complications and aids in mastering the surgical procedure.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Bladder anchoring in pneumovesical ureteric reimplantation (PUR) presents surgical challenges.
- Existing methods for bladder fixation can be difficult to execute effectively.
Purpose of the Study:
- To introduce and evaluate a new technique for bladder anchoring during PUR using a T-fastener.
- To assess the safety and efficacy of T-fastener application in PUR procedures.
Main Methods:
- A T-fastener was employed for bladder anchoring in all patients undergoing PUR at the center since 2011.
- The technique was applied prospectively to consecutive cases.
Main Results:
- Seventeen cases were performed between 2011 and 2015.
- No instances of bladder dislodgement or air leak were reported.
- The T-fastener technique was associated with no morbidity or mortality.
Conclusions:
- The T-fastener technique offers a simple and transferable solution for bladder anchoring in PUR.
- This method effectively decreases intraoperative complications.
- The technique facilitates the learning curve for surgeons performing PUR.