Figure 4 - uploaded by Taha Abo-Almagd Abdel-Meguid Hamoda
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The tubularized loop was directly anastomosed to the non-tailored ureter(s) as end-to-end with the right ureter and end-to-side with the left ureter in bilateral megaureters, or end-to-end in unilateral disease. The Mitrofanoff channel is shown. The catheters and drains are not shown.
Source publication
To show the efficacy and safety of a novel modification of Studer's neobladder, herein defined as the "fez procedure."
The medical records of 21 children (mean age 9.4 ± 1.3 years) who underwent the "fez procedure" at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, to manage refractory poorly-compliant bladders and concomitantly obstructe...
Context in source publication
Context 1
... 2,3). The ileal patch with its tubularized loop, when sutured to the bladder, was finally fashioned as a "fez" with its tassel (Fig. 2). The tubularized loop was directly anastomosed to the non-tailored ureter(s); as end-to-end with the right ureter and end-to-side with the left ureter in bilateral megaureters, or end-to-end in unilateral disease (Fig. 4). The ureteroileal anastomoses were stented, a suprapubic catheter was brought out of the native bladder and perivesical drains were secured. A concomitant Mitrofanoff catheterizable channel using the appendix was carried out in 16 patients to facilitate CIC. No concomitant bladder neck surgery was carried out in the reported patients. ...
Citations
To evaluate electrocardiogram and some serum biochemical alterations after ileocystoplasty, ten healthy adult mixed breed dogs of both sexes (7 males and 3 females), weighing between 15-24 kg were selected. The animals randomly divided into equal surgical and control groups. In surgical group partial cytectomy resecting 50 percent of the bladder and immediate ileocystoplasty was performed by Lamesch and Dociu technique and in control group an ileal segment resection and intestinal tract re-anastomosis was achieved without partial cystectomy and ileocystoplasty. Blood samples for measuring blood urea nitrogen (BUN), creatinine, uric acid, calcium, phosphorus, chlorine, sodium and potassium were taken before surgery and repeated at day 1, 3, 7, 14, 21, 28, 35, 42 and 49 after operation. Electrocardiograms were recorded before surgery and at days 7, 14, 21, 28, 35, 42, and 49 after surgery too. Repeated measure sample of analysis and Tukey test were used for the analysis of the data and P values less than 0.05 were considered statistically significant. The results showed some significant changes in blood urea nitrogen, uric acid, potassium and phosphorus. Other biochemical parameters did not revealed any significant alterations. The electrocardiograms did not show any arrhythmias and irregularities. In spite of some serum biochemical changes, it can be concluded that ileum is an ideal part for augmentation cystoplasty in dogs and at least in this study the serum biochemical changes did not show any important effects in electrocardiogram.
Key words: Ileocystoplasty, Biochemical alterations, Electrocardiogram, Dog
