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The everting suture: A new technical aid for ureteral nipple construction
1Department of Urology, Alexandria School of Medicine, Alexandria, Egypt.
Purpose:
A new technique using an everting suture to construct a ureteral nipple is described.
Materials And Methods:
The method was used to create 28 ureteral nipples. A 2-zero silk suture is passed through the ureteral wall, transfixing the lumen, and is tied 5 cm. away from the ureteral wall. The ends are cut 10 cm. long. The suture is grasped within the ureteral lumen and with traction the ureter is everted in 1 step without trauma.
Results:
The suture in smooth 1-step atraumatic eversion of the ureter in all cases.
Conclusions:
With this technique a well formed nipple of the desired length can be constructed.
