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[Ureteral replacement with appendix]
J A Valero Puerta1, J Henriquez Blanco, C Jiménez García
1Servicio de Urología, Hospital Militar del Rey, Las Palmas de Gran Canaria, España.
Objective:
The scant references in the literature on the use of the appendix in ureteral substitution prompted us to describe the present case in whom this technique was utilized.
Methods:
The surgical technique of appendiceal interposition to repair a defect approximately 10 cm long in the right ureter is described. Following excision of a mass arising from the adnexa that entrapped the ureter at the level of the pelvis, the defect was repaired with the appendix.
Results:
At two years follow-up, the patient is well and right excretory system function is normal.
Conclusion:
Ureteral repair with the appendix is simple and easy to perform. However, the indications for appendiceal interposition are more limited than those of the classical surgical techniques.