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KMID : 0381219840160020153
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Journal of RIMSK
1984 Volume.16 No. 2 p.153 ~ p.156
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Three Cases of Vesico-Psoas Hitch Procedure for the Replacement of the Injured Lower Ureters
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Abstract
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Ureteroneocystostomy is the procedure of choice for lower ureteral injuries since it provides the least complication rate and morbidity. However, lower ureteral injuries which cannot be reimplanted without tension require a bladder extension procedure. With the psoas bladder hitch or a psoas bladder hitch combined with a Boari pedicle flap, defects as high as L4-5 can be bridged. The psoas hitch is performed by mobilizing the bladder and securing it to the psoas minor tendon.
Herein we present our experiences of the vesico-psoas hitch procedure for the replacement of the 3 cases of the injured lower ureter with a brief review of the literature.
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