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KMID : 0358319970380020151
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Korean Journal of Urology
1997 Volume.38 No. 2 p.151 ~ p.157
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Ureteroureterostomy for the Management of Iatrogenic Lower Ureter Injury
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Abstract
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Ten cases of lower ureteral injuries resulting from pelvic surgery, all females with an average age of 48.8 years, were treated by a end-to-end ureteroureterostomy at the Seoul National University Howpital between January 1987 and Desember 1993.
Of
the
patients nine were from gynecologic surgery and one was from general surgery. Only one case was detected intraoperatively and the others were referied post-operatively. A watertight, tensionless, spatulated anastomosis with double J stenting was
performed to all as soos as the diagnosis was made. In one patient renal mobilization was necessary because of the long ureteral defect. The mean length of the resected sections of the ureter and the distal ureteral stumps were 26 mm and 27mm,
respectively. The mean duration of followup was 3 years. Good results with no morbidity were achieved in all. Our results suggest that ureteroureterostomy is a good operative method having great success rate in the treatment of lower ureter
injury.
And
it thought be a good alternative to Boari flap or psoas hitch technique when the distal ureteral stump is preserved.
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