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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.
Introduction:
Bladder anchoring during pneumovesical ureteric reimplantation (PUR) can be difficult. Here we describe our new technique using a T-fastener (Kimberly Clark, Irving, TX, USA) to tackle this problem.
Methods:
A T-fastener has been applied to all patients who underwent PUR in our center since 2011.
Results:
Seventeen consecutive cases were performed between 2011 and 2015. No bladder dislodgement or air leak was observed in any of the operations. No morbidity or mortality has been associated with the use of T-fasteners.
Conclusion:
In our experience, this technique is simple to learn and transferrable. It decreases intraoperative complications and helps to climb the learning curve.