Cargando…
Laparoscopic Undiversion in a Child with Sacral Agenesis into Augmentation Cystoplasty
INTRODUCTION: In neurogenic bladder with compromised renal function or when complex reconstruction is not preferred, ileal conduit is considered. Undiversion is performed when the patient prefers the procedure, once the renal function improves, or when complications resulting from diversion are pres...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771767/ https://www.ncbi.nlm.nih.gov/pubmed/24018085 http://dx.doi.org/10.4293/108680813X13693422522079 |
_version_ | 1782284221026402304 |
---|---|
author | Ramalingam, Manickam Senthil, Kallappan Murugesan, Anandan Pai, Mizar Ganapathy |
author_facet | Ramalingam, Manickam Senthil, Kallappan Murugesan, Anandan Pai, Mizar Ganapathy |
author_sort | Ramalingam, Manickam |
collection | PubMed |
description | INTRODUCTION: In neurogenic bladder with compromised renal function or when complex reconstruction is not preferred, ileal conduit is considered. Undiversion is performed when the patient prefers the procedure, once the renal function improves, or when complications resulting from diversion are present. CASE DESCRIPTION: We present the case of a 10-y-old boy with sacral agenesis, who underwent laparoscopic-assisted ileal conduit diversion in 2006, because he had a grossly unstable, small-capacity bladder and was not compliant with intermittent self-catheterization. At present, he preferred not to have a conduit. DISCUSSION: Laparoscopic undiversion with ileal augmentation cystoplasty was performed. The postoperative course was uneventful, and he is now on intermittent self-catheterization with healthy renal function. Laparoscopic undiversion is technically challenging, yet feasible, and is an effective option in children. To our knowledge, this is the first such case reported. |
format | Online Article Text |
id | pubmed-3771767 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-37717672013-09-16 Laparoscopic Undiversion in a Child with Sacral Agenesis into Augmentation Cystoplasty Ramalingam, Manickam Senthil, Kallappan Murugesan, Anandan Pai, Mizar Ganapathy JSLS Case Reports INTRODUCTION: In neurogenic bladder with compromised renal function or when complex reconstruction is not preferred, ileal conduit is considered. Undiversion is performed when the patient prefers the procedure, once the renal function improves, or when complications resulting from diversion are present. CASE DESCRIPTION: We present the case of a 10-y-old boy with sacral agenesis, who underwent laparoscopic-assisted ileal conduit diversion in 2006, because he had a grossly unstable, small-capacity bladder and was not compliant with intermittent self-catheterization. At present, he preferred not to have a conduit. DISCUSSION: Laparoscopic undiversion with ileal augmentation cystoplasty was performed. The postoperative course was uneventful, and he is now on intermittent self-catheterization with healthy renal function. Laparoscopic undiversion is technically challenging, yet feasible, and is an effective option in children. To our knowledge, this is the first such case reported. Society of Laparoendoscopic Surgeons 2013 /pmc/articles/PMC3771767/ /pubmed/24018085 http://dx.doi.org/10.4293/108680813X13693422522079 Text en © 2013 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Case Reports Ramalingam, Manickam Senthil, Kallappan Murugesan, Anandan Pai, Mizar Ganapathy Laparoscopic Undiversion in a Child with Sacral Agenesis into Augmentation Cystoplasty |
title | Laparoscopic Undiversion in a Child with Sacral Agenesis into Augmentation Cystoplasty |
title_full | Laparoscopic Undiversion in a Child with Sacral Agenesis into Augmentation Cystoplasty |
title_fullStr | Laparoscopic Undiversion in a Child with Sacral Agenesis into Augmentation Cystoplasty |
title_full_unstemmed | Laparoscopic Undiversion in a Child with Sacral Agenesis into Augmentation Cystoplasty |
title_short | Laparoscopic Undiversion in a Child with Sacral Agenesis into Augmentation Cystoplasty |
title_sort | laparoscopic undiversion in a child with sacral agenesis into augmentation cystoplasty |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771767/ https://www.ncbi.nlm.nih.gov/pubmed/24018085 http://dx.doi.org/10.4293/108680813X13693422522079 |
work_keys_str_mv | AT ramalingammanickam laparoscopicundiversioninachildwithsacralagenesisintoaugmentationcystoplasty AT senthilkallappan laparoscopicundiversioninachildwithsacralagenesisintoaugmentationcystoplasty AT murugesananandan laparoscopicundiversioninachildwithsacralagenesisintoaugmentationcystoplasty AT paimizarganapathy laparoscopicundiversioninachildwithsacralagenesisintoaugmentationcystoplasty |