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KMID : 0377619730240040413
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Korean Jungang Medical Journal
1973 Volume.24 No. 4 p.413 ~ p.419
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A Clinical Aspect of Ileal Conduit for Urinary Diversion
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Abstract
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Urinary diversion or replacement of bladder by means of ileal segment has been used in 7 patients during the period from Nov. 1971 to Jan. 1973 in the Department of Urology, National Medical Center.
1) The age distribution showed more than 50 years of age who had malignant diseases except a 14 year old boy suffered from traumatic urethral stricture with urinary fistula.
2) Ureteroileocutaneostomy with total cystectomy, vesicoileocutaneostomy with urethrectomy and simple vesicoileocutaneostomy were the methods of operations.
3) Ureteroileal anastomosis by conjoining the spatulated ureters with suturing to the opened proximal end of the ileal segment were accomplished.
4) There was an operative death who were expired on the 3rd postoperative day due to acute renal failure.
5) We experienced 3 cases of technical failures which were corrected immediately during operation; a case of poor blood supply in the site of ileoileostomy,, a case of antiperistaltic ureteroileal anastomosis and a case of ileal segmental necrosis.
6) The early complications were wound infection (6 cases), acute pyelonephritis (a case) and intestinal obstruction (a case).
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