[The Indian pouch as an orthotopic reservoir]

Patients undergoing this procedure should be strongly motivated and should have normal or near-normal bowel function. A reservoir is made using an 18-20 cm segment of terminal ileum, caecum and ascending colon. The ureters are implanted along the taenia of the ascending colon. The result is a neo-bladder that is close to the ideal ellipsoid shape. The stapling technique used decreases operating time and the detubularisation maintains low pressure in the neo-bladder. Although the operation has so far been performed on only 10 patients results have been very favourable and it has proved to be a useful alternative form of diversion.