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Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children

INTRODUCTION: The Mitrofanoff principle was originally described as a method to provide an alternative means to access the bladder. It creates a conduit to the bladder through which patients with a sensitive, absent, or traumatized urethra can perform clean intermittent catheterization (CIC) easily....

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Autores principales: Nerli, Rajendra B., Reddy, Mallikarjun, Devraju, Shishir, Prabha, Vikram, Hiremath, Murigendra B., Jali, Sujata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339781/
https://www.ncbi.nlm.nih.gov/pubmed/22557713
http://dx.doi.org/10.4103/0970-1591.94951
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author Nerli, Rajendra B.
Reddy, Mallikarjun
Devraju, Shishir
Prabha, Vikram
Hiremath, Murigendra B.
Jali, Sujata
author_facet Nerli, Rajendra B.
Reddy, Mallikarjun
Devraju, Shishir
Prabha, Vikram
Hiremath, Murigendra B.
Jali, Sujata
author_sort Nerli, Rajendra B.
collection PubMed
description INTRODUCTION: The Mitrofanoff principle was originally described as a method to provide an alternative means to access the bladder. It creates a conduit to the bladder through which patients with a sensitive, absent, or traumatized urethra can perform clean intermittent catheterization (CIC) easily. We report our experience with complete laparoscopic Mitrofanoff appendicovesicostomy to promote a catheterizable abdominal stoma. MATERIALS AND METHODS: A 4-port transperitoneal approach was used to create a complete laparoscopic Mitrofanoff appendicovesicostomy. RESULTS: Six children with a mean age of 12.8 years (range 9-16 years) underwent laparoscopic Mitrofanoff appendicovesicostomy. Mean operative time was 139.6 min and Mean estimated blood loss was 46 cc. No cases of urinary leaks were noted. There have been no cases of either stomal stenosis or appendicovesical stenosis noted. CONCLUSIONS: Pure laparoscopic Mitrofanoff appendicovesicostomy is feasible and is associated with reasonable outcome with early recovery, resumption of normal activities and excellent cosmesis.
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spelling pubmed-33397812012-05-03 Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children Nerli, Rajendra B. Reddy, Mallikarjun Devraju, Shishir Prabha, Vikram Hiremath, Murigendra B. Jali, Sujata Indian J Urol Original Article INTRODUCTION: The Mitrofanoff principle was originally described as a method to provide an alternative means to access the bladder. It creates a conduit to the bladder through which patients with a sensitive, absent, or traumatized urethra can perform clean intermittent catheterization (CIC) easily. We report our experience with complete laparoscopic Mitrofanoff appendicovesicostomy to promote a catheterizable abdominal stoma. MATERIALS AND METHODS: A 4-port transperitoneal approach was used to create a complete laparoscopic Mitrofanoff appendicovesicostomy. RESULTS: Six children with a mean age of 12.8 years (range 9-16 years) underwent laparoscopic Mitrofanoff appendicovesicostomy. Mean operative time was 139.6 min and Mean estimated blood loss was 46 cc. No cases of urinary leaks were noted. There have been no cases of either stomal stenosis or appendicovesical stenosis noted. CONCLUSIONS: Pure laparoscopic Mitrofanoff appendicovesicostomy is feasible and is associated with reasonable outcome with early recovery, resumption of normal activities and excellent cosmesis. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3339781/ /pubmed/22557713 http://dx.doi.org/10.4103/0970-1591.94951 Text en Copyright: © Indian Journal of Urology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Nerli, Rajendra B.
Reddy, Mallikarjun
Devraju, Shishir
Prabha, Vikram
Hiremath, Murigendra B.
Jali, Sujata
Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children
title Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children
title_full Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children
title_fullStr Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children
title_full_unstemmed Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children
title_short Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children
title_sort laparoscopic mitrofanoff appendicovesicostomy: our experience in children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339781/
https://www.ncbi.nlm.nih.gov/pubmed/22557713
http://dx.doi.org/10.4103/0970-1591.94951
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