The curative effect observation of Indiana pouch procedure: A report of 75 cases
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Objective To assess the long term effect of indiana pouch procedure after total cystectomy. Methods The Indiana-pouch procedure had been improved as follows: after the end of ureter being made as nipple-like, it was implanted into the pouch with a tunnel way under bladder mucous for more than 2.0cm at least. So there were double ways to anti-reflux of urine. The process of pouch mucous was ameliorated too. Result After being follow-ups of half a year, the mean capacity of pouch was 610ml (520-900ml) and the mean filling pressure of the pouch was 10.4+2.8cmH2O. There was no evidence of ureter reflux and hydroneophrosis. Conclusions Indiana pouch procedure is fairly good for urinary diversion with high capacity, low pressure, minimal complications and catheteritation being easy.Keywords:
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BACKGROUND: While laparoscopy is accepted as the preferable technique for most of the abdominal operations especially for patients with virgin abdomen, use of laparoscopy for restorative rectal operations has been under debate in terms their general applicability and outcomes. This paper specifically focuses on the characteristics, management strategy and outcomes of transabdominal redo ileal pouch-anal anastomosis (IPAA) surgery in patients who underwent laparoscopic IPAA creation. METHODS: Between 4/2007 and 7/2016, data regarding patients undergoing transabdominal redo surgery for failed laparoscopic IPAA were reviewed. Patient demographics, primary diagnosis, technical details of the primary and redo IPAA, indications for redo surgery, perioperative and postoperative outcomes were evaluated. RESULTS: There were 76 [n=26 (34%) males] patients with a median age of 31 years (13-76 years) and a median body mass index of 23 kg/m2 (15-32 kg/m2) at the time of revision surgery. Diagnoses at the time of redo surgery were ulcerative colitis (n= 67, 88%), Crohn's disease (n=4, 5.2%), familial adenomatous polyposis (n=4, 5.2%), and colonic inertia (n=1, 1.6%). Median time to redo surgery was 2 years (0.2-12) after laparoscopic IPAA creation. 73 (71%) patients required a diverting loop ileostomy prior to or during redo IPAA surgery. A new pouch was created in 57% (n=43) of patients, reuse of the previous pouch was done in 32 patients (42%) and repair of the pouch was done in 1 patient. Indications for redo IPAA surgery were leak and fistula (n=40, 52.6%), obstruction (n=21, 27.6%) and pelvic perianal abscess (n=17, 22.3%). 19 patients (25%) diagnosed with long remnant rectal cuff (>2cm from the dentate line) and 6 patients (7.8%) with mesenteric twist at the time of redo pouch surgery. Mean operative time was 270 minutes (SD: ± 141 minutes) and length of stay was 7.7 days (SD: ±3.9 days) after redo IPAA surgery. 30-day morbidity was 45% (n=34). At a median follow-up of 3 (0.1-8) years after redo surgery, a total of 25 patients (32.8%) were diagnosed with redo pouch failure. CONCLUSION(S): The outcomes after redo IPAA surgery are promising in patients with failed laparoscopic IPAA. While pelvic sepsis is the common cause of failure, long remnant rectal cuff and mesenteric twist seems technically preventable problems causing failure after laparoscopic creation of the index IPAA.
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No AccessJournal of Urology1 Jun 1987The Ileal Pouch Bladder: Operative Technique and Results Hansjoerg Melchior, Christiane Spehr, Charlotta Persson, and Klaus P. Juenemann Hansjoerg MelchiorHansjoerg Melchior More articles by this author , Christiane SpehrChristiane Spehr More articles by this author , Charlotta PerssonCharlotta Persson More articles by this author , and Klaus P. JuenemannKlaus P. Juenemann More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)75263-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "The Ileal Pouch Bladder: Operative Technique and Results." The Journal of Urology, 137(6), p. 132A © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 137Issue 6June 1987Page: 132A Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Hansjoerg Melchior More articles by this author Christiane Spehr More articles by this author Charlotta Persson More articles by this author Klaus P. Juenemann More articles by this author Expand All Advertisement PDF downloadLoading ...
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Pouch perforation after augmentation cystoplasty with an ileocolic pouch is an uncommon but life-threatening complication, which can result in peritonitis, sepsis and even death. We encountered a rare case of late pouch perforation after augmentation cystoplasty with an ileocolic pouch. A 52-year-old female was admitted with a chief complaint of acute abdominal pain for the past two days. Twenty years prior, she had undergone left nephrectomy and augmentation cystoplasty with an ileocolic pouch due to left renal abscess. The patient was diagnosed 16 years previously with chronic renal failure, which had been managed with hemodialysis. Physical examination revealed peritonitis with diffuse abdominal tenderness and board-like rigidity. The patient underwent an emergent laparotomy, revealing a perforation of the ileocolic pouch of the bladder, which was filled with stool-like mucoid material. Pouch excision with total cystectomy was performed, but the patient died the next day. J Med Cases. 2012;3(5):294-296 doi: https://doi.org/10.4021/jmc636w
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No AccessJournal of Urology1 Oct 1965A Method of Urinary Diversion by Anastomosis of the Ureters into a Sigmoid Pouch Ali Charghi, Jean Charbonneau, Jean P. Cholette, and Georges E. Gauthier Ali CharghiAli Charghi More articles by this author , Jean CharbonneauJean Charbonneau More articles by this author , Jean P. CholetteJean P. Cholette More articles by this author , and Georges E. GauthierGeorges E. Gauthier More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)63633-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1965 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByAllen T (2018) Editorial CommentsJournal of Urology, VOL. 133, NO. 3, (394-394), Online publication date: 1-Mar-1985.Kamidono S, Oda Y, Hamami G, Hikosaka K, Kataoka N and Ishigami J (2018) Urinary Diversion: Anastomosis of the Ureters into a Sigmoid Pouch and End-to-Side SigmoidorectostomyJournal of Urology, VOL. 133, NO. 3, (391-394), Online publication date: 1-Mar-1985.Leiter E (2018) Editorial CommentsJournal of Urology, VOL. 133, NO. 3, (394-394), Online publication date: 1-Mar-1985. Volume 94Issue 4October 1965Page: 376-379 Advertisement Copyright & Permissions© 1965 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Ali Charghi More articles by this author Jean Charbonneau More articles by this author Jean P. Cholette More articles by this author Georges E. Gauthier More articles by this author Expand All Advertisement PDF DownloadLoading ...
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No AccessJournal of Urology1 Oct 1957Bladder Pouch for Prolonged Tubeless Cystostomy Berget H. Blocksom Berget H. BlocksomBerget H. Blocksom View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)66453-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1957 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited BySnyder H (2018) Editorial commentJournal of Urology, VOL. 167, NO. 2 Part 2, (1152-1152), Online publication date: 1-Feb-2002.HUTCHESON J, COOPER C, CANNING D, ZDERIC S and SNYDER H (2018) THE USE OF VESICOSTOMY AS PERMANENT URINARY DIVERSION IN THE CHILD WITH MYELOMENINGOCELEJournal of Urology, VOL. 166, NO. 6, (2351-2353), Online publication date: 1-Dec-2001.Yachia D (2018) A New Continent Vesicostomy Technique: Preliminary ReportJournal of Urology, VOL. 157, NO. 5, (1633-1637), Online publication date: 1-May-1997.De Badiola F, Denes E, Ruiz E, Smith C, Bukowski T and Gonzalez R (2018) New Application of the Gastrostomy Button for Clinical and Urodynamic Evaluation Before Vesicostomy ClosureJournal of Urology, VOL. 156, NO. 2S, (618-620), Online publication date: 1-Aug-1996.Chu C and Diau G (2018) Prolapsed Vesicostomy Results in a Strangulated Bowel Herniation: A Rare Complication of Cutaneous VesicostomyJournal of Urology, VOL. 152, NO. 5 Part 1, (1572-1573), Online publication date: 1-Nov-1994.Schwartz S, Kennelly M, McGuire E and Faerber G (2018) Incontinent ILEO-Vesicostomy Urinary Diversion in the Treatment of Lower Urinary Tract DysfunctionJournal of Urology, VOL. 152, NO. 1, (99-102), Online publication date: 1-Jul-1994.Noe H and Jerkins G (2018) Cutaneous Vesicostomy Experience in Infants and ChildrenJournal of Urology, VOL. 134, NO. 2, (301-302), Online publication date: 1-Aug-1985.Walker R (2018) Editorial CommentJournal of Urology, VOL. 134, NO. 2, (302-303), Online publication date: 1-Aug-1985.Sonda L and Solomon M (2018) Twenty-Year Outcome of Cutaneous VesicostomyJournal of Urology, VOL. 124, NO. 3, (326-328), Online publication date: 1-Sep-1980.Bruce R and Gonzales E (2018) Cutaneous Vesicostomy: A Useful Form of Temporary Diversion in ChildrenJournal of Urology, VOL. 123, NO. 6, (927-928), Online publication date: 1-Jun-1980.K.W. (2018) Editorial CommentJournal of Urology, VOL. 123, NO. 6, (928-928), Online publication date: 1-Jun-1980.Allen T (2018) Vesicostomy for the Temporary Diversion of the Urine in Small ChildrenJournal of Urology, VOL. 123, NO. 6, (929-931), Online publication date: 1-Jun-1980.Retik A (2018) Editorial CommentJournal of Urology, VOL. 123, NO. 6, (931-931), Online publication date: 1-Jun-1980.Cohen J, Harbach L and Kaplan G (2018) Cutaneous Vesicostomy for Temporary Urinary Diversion in Infants with Neurogenic Bladder DysfunctionJournal of Urology, VOL. 119, NO. 1, (120-121), Online publication date: 1-Jan-1978.Johnston W, Yeatman G and Weigel J (2018) Congenital Absence of the PenisJournal of Urology, VOL. 117, NO. 4, (508-511), Online publication date: 1-Apr-1977.Tyrone N, Wyker A and Gillenwater J (2018) Anterior Urethral Transposition: A Modification of TechniqueJournal of Urology, VOL. 105, NO. 5, (729-732), Online publication date: 1-May-1971.Ireland G and Geist R (2018) Difficulties with Vesicostomies in 15 Children with MeningomyeloceleJournal of Urology, VOL. 103, NO. 3, (341-342), Online publication date: 1-Mar-1970.Bell T, Hoodin A and Evans A (2018) Tubeless Cystostomy in ChildrenJournal of Urology, VOL. 100, NO. 4, (459-461), Online publication date: 1-Oct-1968.Schlegel J and Mobley J (2018) Cutaneous Vesicostomy: A New MethodJournal of Urology, VOL. 99, NO. 3, (266-269), Online publication date: 1-Mar-1968.Paquin A, Howard R and Gillenwater J (2018) Cutaneous Vesicostomy: A Modification of a TechniqueJournal of Urology, VOL. 99, NO. 3, (270-273), Online publication date: 1-Mar-1968.Laskowski T and Scott F (2018) Cutaneous Vesicostomy as Means of Urinary Diversion: 3 Years ExperienceJournal of Urology, VOL. 94, NO. 5, (549-555), Online publication date: 1-Nov-1965.Krawitt D (2018) Tubeless Vesicostomy: A New ProcedureJournal of Urology, VOL. 93, NO. 2, (189-191), Online publication date: 1-Feb-1965.Krahn H, Morales P and Hotchkiss R (2018) Experience with Tubeless CystostomyJournal of Urology, VOL. 91, NO. 3, (246-252), Online publication date: 1-Mar-1964.Misak S and Bunts R (2018) Trends in the Management of Urethral Complications in ParaplegicsJournal of Urology, VOL. 90, NO. 3, (296-300), Online publication date: 1-Sep-1963.Lapides J, Ajemian E and Lichtwardt J (2018) Cutaneous VesicostomyJournal of Urology, VOL. 84, NO. 5, (609-614), Online publication date: 1-Nov-1960.Arduino L and Miller E (2018) Bladder Pouch for Tubeless CystostomyJournal of Urology, VOL. 84, NO. 5, (615-618), Online publication date: 1-Nov-1960.Carlson H (2018) Tubeless Cystotomy in ChildhoodJournal of Urology, VOL. 83, NO. 5, (669-671), Online publication date: 1-May-1960.Rinker J, Caffery E and Witherington R (2018) Use of Bladder Pouch for Tubeless Drainage in Permanent IncontinenceJournal of Urology, VOL. 81, NO. 1, (135-137), Online publication date: 1-Jan-1959. Volume 78Issue 4October 1957Page: 398-401 Advertisement Copyright & Permissions© 1957 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Berget H. Blocksom More articles by this author Expand All Advertisement PDF DownloadLoading ...
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No AccessJournal of UrologyUrological Survey: Diagnostic Urology, Urinary Diversion and Perioperative Care1 Jun 2005Extension of a Shortened Ureter Using the In Situ Appendix During Indiana Pouch Urinary Diversion Joseph A. SmithM.D. Joseph A. SmithJoseph A. Smith More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)60215-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Extension of a Shortened Ureter Using the In Situ Appendix During Indiana Pouch Urinary Diversion." The Journal of Urology, 173(6), p. 2034 © 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 173Issue 6June 2005Page: 2034 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.MetricsAuthor Information Joseph A. Smith More articles by this author Expand All Advertisement PDF DownloadLoading ...
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Coloanal anastomosis
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Abdominoperineal resection
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