Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/48859
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dc.contributor.authorIsorna Martínez De La Riva, Santiago
dc.date.accessioned2018-11-24T01:36:39Z-
dc.date.available2018-11-24T01:36:39Z-
dc.date.issued1996
dc.identifier.issn0004-0614
dc.identifier.urihttp://hdl.handle.net/10553/48859-
dc.description.abstractOBJECTIVES: To describe a new technique for orthotopic bladder replacement using a short detubularized segment of the most distal portion of the sigmoid colon, termed 'detubularized distal sigmoidoplasty'. METHODS: The surgical technique utilized 1) large bowel to provide a larger intestinal lumen, stronger muscle layer and minimum metabolic activity; 2) a short segment providing adequate volume in the sigmoid and a reduced surface of exchange; and 3) a distal segment close to the urethra so it can be easily advanced without stretching and with minimum sectioning of the mesosigmoid. A short segment (approximately 18 cms) of the distal sigmoid is separated with minimum mobilization of the mesentery. It is detubularized to obtain a centrally located rectangle. The ureter is reattached using the antireflux technique of direct retrögrade submucosal tunneling with a symmetrical pseudotrigonal arrangement. The reservoir is constructed using a single transverse continuous suture that is interrupted 2 cms before complete closure of the neobladder to provide an orifice for urethral anastomosis. RESULTS: The technique is simple and utilizes a segment shorter than those described to date. Any segment of the sigmoid can be utilized. The neobladder can be shaped with a single continuous suture and the ureter can be reinserted in a more anatomic position. The reservoir has an adequate volume of approximately 300 cc. Voiding is accomplished by contraction of the reservoir and abdominal pressure. CONCLUSIONS: This neobladder technique is simple. It achieves excellent diurnal continence and maintains the contractile capacity which permits comfortable and compensated voiding.
dc.publisher0004-0614
dc.relation.ispartofArchivos españoles de urología
dc.sourceArchivos Espanoles de Urologia[ISSN 0004-0614],v. 49, p. 657-667
dc.titleLa sigmoidoplastia distal destubulizada. Descripción de la técnica
dc.typeinfo:eu-repo/semantics/Articlees
dc.typeArticlees
dc.identifier.scopus18744431172
dc.contributor.authorscopusid6602434112
dc.description.lastpage667
dc.description.firstpage657
dc.relation.volume49
dc.type2Artículoes
dc.date.coverdateSeptiembre 1996
dc.identifier.ulpgces
dc.description.scieSCIE
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.fullNameIsorna Martínez De La Riva, Santiago-
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