Related Experiment Videos
[The Indiana pouch continent cutaneous urinary diversion]
1Dipartimento di Urologia, Indiana School of Medicine, Indianapolis, USA.
Chirurgia Italiana
|January 1, 1997
Summary
This study details modifications to the ileo-caecal segment procedure for improved continence. Absorbable staples enhance reliability and reduce surgery time, with minimal complications reported.
Area of Science:
- Gastroenterology
- Surgical Innovation
Context:
- The ileo-caecal segment procedure was initially developed to ensure continence.
- Early methods relied on natural mechanisms like peristalsis and the ileo-caecal valve.
Purpose:
- To evaluate modifications of the ileo-caecal segment procedure for enhanced continence.
- To assess the efficacy and safety of using absorbable staples in this surgical technique.
Summary:
- The Rowland group modified the procedure using 8-10 cm of terminal ileum and 30 cm of caecum and ascending ileum.
- Constructing an efferent limb with absorbable staples creates a reliable continence mechanism.
- This technique reduces operative time by approximately 1 hour.
Impact:
- Absorbable staples offer a reliable continence mechanism with reduced operating times.
- The modified procedure shows a low incidence of stones and infections.
- Only minor issues with staple fragments in urine were reported in a small number of patients.