Appendix vermiformis as a left pyelo-ureteral substitute in a 6-month-old girl with solitary kidney

Reck, Carlos A.; Fartacek, Renate; Horcher, Ernst

doi:10.4103/0189-6725.86067

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…An appendiceal graft is more suitable for right-sided ureteral reconstruction due to its inherent ipsilateral location. The use of an appendiceal graft for left-sided ureteral reconstruction has been reported but it is less common due to its higher complication rate [ 6 , 8 ]. The long-term success of appendiceal ureteral replacement in terms of satisfactory transport of urine and maintaining good renal function, has been documented [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Ureteral reconstruction with appendiceal interposition graft following resection of retroperitoneal leiomyosarcoma

Williams

Diallo

Issa

et al. 2023

Journal of Surgical Case Reports

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Ureteral defects can be repaired using a variety of different techniques that depend on the length and position of the defect. Here we describe a case where a long, upper-ureteral defect was successfully reconstructed using an appendiceal interposition graft. A 60-year-old female patient underwent resection of a right-sided retroperitoneal leiomyosarcoma that was encasing the entire upper ureter and obstructing the right kidney. The mass was resected en bloc, leaving behind an 11 cm ureteral defect. The defect was successfully reconstructed with an appendiceal interposition graft. Appendiceal interposition grafts are a feasible and effective approach for ureteral reconstruction in adults following oncologic resection. We describe various technical aspects that optimize the success of ureteral reconstruction.

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Section: Discussionmentioning

confidence: 99%

Ureteral reconstruction with appendiceal interposition graft following resection of retroperitoneal leiomyosarcoma

Williams

Diallo

Issa

et al. 2023

Journal of Surgical Case Reports

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“…Initially a whole segment was used as a substitute but due to its drawbacks of lumen discrepancy, chances of reflux, excessive mucus formation, infections, loss of larger length of bowel and metabolic disturbances; now creating a tube from smaller bowel segment using a young Monti's principle is preferred. [8][9][10] Technique and advantages and drawbacks…”

Section: Discussionmentioning

confidence: 99%

Revisiting ureteral substitution and its outcome in children: single centre 13 year experience

Vageriya¹,

Mane²,

Daginawala³

et al. 2020

Int J Contemp Pediatr

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Background: Objective of this study is to explore various ureteric substitutes in pediatric age group and their outcomes.Methods: Retrospective analysis was done from 2003-2016, of all patients operated in this hospital that had undergone ureteral replacement. Thirteen such patients (5 from initially published paper (1) and 8 new patients) were followed up to find conduit patency, renal function and related complications with their outcomes assessed.Results: Ureteric substitution was done in 8 patients. Age of the patient ranged from 4 months to 8 years. Out of these for 2 patients monti tube was created; one with colon and other jejunum, rest of the 6 patient appendix was used. On follow up one patient had early appendico-ureteral leak requiring re-anastomosis and one patient had partial obstruction at 6 months corrected by dividing mesentry and untwisting appendix. With a mean follow up of 3.8 years all patients have preserved renal functions and drainage present. Also 5 patients of ureteral substitution performed at this institution and published prior were followed up with mean follow up of 10.4 years having no complaints with preserved function and unobstructed drainage.Conclusions: This small series supports that not only appendix and ileum but even colon as well as jejunum should be considered as Monti’s tube for ureteric replacement, when confronting with short ureter in paediatric age group.

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Ureteral Reconstruction: An Overview of Appendiceal Interposition and Ureterocalicostomy

Hemal

Quian

Stein

2021

Techniques of Robotic Urinary Tract Reconstruction

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Appendix vermiformis as a left pyelo-ureteral substitute in a 6-month-old girl with solitary kidney

Cited by 4 publications

References 12 publications

Ureteral reconstruction with appendiceal interposition graft following resection of retroperitoneal leiomyosarcoma

Ureteral reconstruction with appendiceal interposition graft following resection of retroperitoneal leiomyosarcoma

Revisiting ureteral substitution and its outcome in children: single centre 13 year experience

Ureteral Reconstruction: An Overview of Appendiceal Interposition and Ureterocalicostomy

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