5 research outputs found
ΠΠ΄Π½ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½Π°Ρ ΠΊΠΈΡΠ΅ΡΠ½Π°Ρ ΠΏΠ» Π°ΡΡΠΈΠΊΠ° ΠΌΠΎΡΠ΅ΡΠΎΡΠ½ΠΈΠΊΠΎΠ² ΠΈ ΠΌΠΎΡΠ΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ·ΡΡΡ
The purpose of the investigation was to study the long-term results of reconstructive surgery in patients who had undergone simultaneousΒ ureteral and bladder intestinoplasty. The investigation enrolled 33 patients with different bladder diseases complicated by secondary hydroureteronephrosis.Β After radical cystectomy, the U. E. Studer method was used to form a low-pressure orthotopic reservoir from the ileum withΒ an afferent tubular segment in 23 (69.7 %) patients. Y-shaped ileoureterocystoplasty was carried out to recover extensive ureteral and bladderΒ defects in 10 (30.3 %) cases. Long-term surgical results were assessed on the basis of a comprehensive examination involving laboratory,Β X-ray, radionuclide, and endourological studies. An isolated loop of the small bowel is a universal plastic material that may be used not onlyΒ to bilaterally replace any ureteral defect, but also to simultaneously repair the bladder, by preserving independent urination.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΈΠ·ΡΡΠ΅Π½ΠΈΠ΅ ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΡ
ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΡΠ΅ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠ²Π½ΡΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
, ΠΏΠ΅ΡΠ΅Π½Π΅ΡΡΠΈΡ
ΠΎΠ΄Π½ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ ΠΏΠ»Π°ΡΡΠΈΠΊΡ ΠΌΠΎΡΠ΅ΡΠΎΡΠ½ΠΈΠΊΠΎΠ² ΠΈ ΠΌΠΎΡΠ΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ·ΡΡΡ. Π ΡΠ°Π±ΠΎΡΡ Π²ΠΊΠ»ΡΡΠ΅Π½Ρ 33 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°, ΠΊΠΎΡΠΎΡΡΠ΅ ΡΡΡΠ°Π΄Π°Π»ΠΈ ΡΠ°Π·Π»ΠΈΡΠ½ΡΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ ΠΌΠΎΡΠ΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ·ΡΡΡ, ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½Π½ΡΠΌΠΈ Π²ΡΠΎΡΠΈΡΠ½ΡΠΌ Π³ΠΈΠ΄ΡΠΎΡΡΠ΅ΡΠ΅ΡΠΎΠ½Π΅ΡΡΠΎΠ·ΠΎΠΌ. Π£ 23 (69,7 %) Π±ΠΎΠ»ΡΠ½ΡΡ
ΠΏΠΎΡΠ»Π΅ ΡΠ°Π΄ΠΈΠΊΠ°Π»ΡΠ½ΠΎΠΉ ΡΠΈΡΡΡΠΊΡΠΎΠΌΠΈΠΈ Π±ΡΠ» ΡΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ ΠΎΡΡΠΎΡΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ΅Π·Π΅ΡΠ²ΡΠ°Ρ Π½ΠΈΠ·ΠΊΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ ΠΈΠ· ΠΏΠΎΠ΄Π²Π·Π΄ΠΎΡΠ½ΠΎΠΉ ΠΊΠΈΡΠΊΠΈ Ρ Π°ΡΡΠ΅ΡΠ΅Π½ΡΠ½ΡΠΌ ΡΡΠ±ΡΠ»ΡΡΠ½ΡΠΌ ΡΠ΅Π³ΠΌΠ΅Π½ΡΠΎΠΌ ΠΏΠΎ ΠΌΠ΅ΡΠΎΠ΄ΡΒ U. E. Studer. Π 10 (30,3 %) ΡΠ»ΡΡΠ°ΡΡ
Π΄Π»Ρ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΠΏΡΠΎΡΡΠΆΠ΅Π½Π½ΡΡ
Π΄Π΅ΡΠ΅ΠΊΡΠΎΠ² ΠΌΠΎΡΠ΅ΡΠΎΡΠ½ΠΈΠΊΠΎΠ² ΠΈ ΠΌΠΎΡΠ΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ·ΡΡΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»ΠΈΒ Y-ΠΎΠ±ΡΠ°Π·Π½ΡΡ ΠΈΠ»Π΅ΠΎΡΡΠ΅ΡΠ΅ΡΠΎΡΠΈΡΡΠΎΠΏΠ»Π°ΡΡΠΈΠΊΡ. ΠΡΠ΅Π½ΠΊΡ ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΡ
ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π½Π° ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΈΠΈ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ, Π²ΠΊΠ»ΡΡΠ°ΡΡΠ΅Π³ΠΎ Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΠ΅, ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅, ΡΠ°Π΄ΠΈΠΎΠΈΠ·ΠΎΡΠΎΠΏΠ½ΡΠ΅ ΠΈ ΡΠ½Π΄ΠΎΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. ΠΠ·ΠΎΠ»ΠΈΡΠΎΠ²Π°Π½Π½Π°Ρ ΠΏΠ΅ΡΠ»Ρ ΡΠΎΠ½ΠΊΠΎΠΉ ΠΊΠΈΡΠΊΠΈ ΡΠ²Π»ΡΠ΅ΡΡΡ ΡΠ½ΠΈΠ²Π΅ΡΡΠ°Π»ΡΠ½ΡΠΌ ΠΏΠ»Π°ΡΡΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»ΠΎΠΌ, ΠΏΡΠΈ ΠΏΠΎΠΌΠΎΡΠΈ ΠΊΠΎΡΠΎΡΠΎΠ³ΠΎ ΠΌΠΎΠΆΠ½ΠΎ Π·Π°ΠΌΠ΅ΡΡΠΈΡΡΒ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ Π»ΡΠ±ΠΎΠΉ Π΄Π΅ΡΠ΅ΠΊΡ ΠΌΠΎΡΠ΅ΡΠΎΡΠ½ΠΈΠΊΠΎΠ² Ρ ΠΎΠ±Π΅ΠΈΡ
ΡΡΠΎΡΠΎΠ½, Π½ΠΎ ΠΈ ΠΎΡΡΡΠ΅ΡΡΠ²ΠΈΡΡ ΠΎΠ΄Π½ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎ ΡΠ΅ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΡ ΠΌΠΎΡΠ΅Π²ΠΎΠ³ΠΎ ΠΏΡΠ·ΡΡΡ Ρ ΡΠΎΡ
ΡΠ°Π½Π΅Π½ΠΈΠ΅ΠΌ ΡΠ°ΠΌΠΎΡΡΠΎΡΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΌΠΎΡΠ΅ΠΈΡΠΏΡΡΠΊΠ°Π½ΠΈΡ
Simultaneous ureteral and bladder intestinoplasty
<p>The purpose of the investigation was to study the long-term results of reconstructive surgery in patients who had undergone simultaneousΒ ureteral and bladder intestinoplasty. The investigation enrolled 33 patients with different bladder diseases complicated by secondary hydroureteronephrosis.Β After radical cystectomy, the U. E. Studer method was used to form a low-pressure orthotopic reservoir from the ileum withΒ an afferent tubular segment in 23 (69.7 %) patients. Y-shaped ileoureterocystoplasty was carried out to recover extensive ureteral and bladderΒ defects in 10 (30.3 %) cases. Long-term surgical results were assessed on the basis of a comprehensive examination involving laboratory,Β X-ray, radionuclide, and endourological studies. An isolated loop of the small bowel is a universal plastic material that may be used not onlyΒ to bilaterally replace any ureteral defect, but also to simultaneously repair the bladder, by preserving independent urination.</p