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Vesicopsoas hitch: a versatile procedure

L D Sullivan, J S Masterson, J E Wright

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |January 1, 1982
    PubMed
    Summary
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    The vesicopsoas hitch is a safe and effective surgical technique for repairing lower ureteral injuries, offering a high success rate with minimal complications. This method, sometimes combined with the Boari flap, can replace up to 70% of the ureter.

    Area of Science:

    • Urology
    • Surgical Techniques

    Background:

    • Management of lower ureteral injuries and diseases often requires ureteral replacement.
    • The vesicopsoas hitch is a surgical option for ureteral reconstruction.

    Observation:

    • This study reviews the experience with 52 patients undergoing the vesicopsoas hitch procedure between 1970 and 1980.
    • The procedure was performed with and without the addition of a Boari flap.

    Findings:

    • The vesicopsoas hitch is a safe and easily performed operation with minimal complications and a high success rate.
    • When combined with the Boari flap and kidney mobilization, this technique can replace up to 70% of the ureter.

    Implications:

    • The vesicopsoas hitch is a valuable reconstructive option for extensive lower ureteral defects.

    Related Experiment Videos

  • This technique offers a reliable solution for complex ureteral reconstruction, potentially improving patient outcomes.