
NEOVEJIGA ILEAL CON MECANISMO ANTI-REFLUJO EN “T”
Javier González, Javier Angulo
NEOVEJIGA ILEAL CON MECANISMO ANTI-REFLUJO EN “T”
During the past 15 years, orthotopic uri-nary diversion surgery has evolved from “experimental” to become the standard treatment in higher volume and experience world centers as the preferred method of uri-nary diversion in both sexes.The overall complication rate of the intussuscepted affe-rent segment required for the construction of a continent Koch reservoir, led to the late 90’s development and des-cription by Skinner et al. of the continence and anti-reflux “T- mechanism”. Based on the sub-serosal appendix-tun-neling described by Mitrofanoff and the extra-serosal ureteric-tunnelling by Ghoneim, this new mechanism has been used successfully incorporated into an orthotopic diversion system (“T-neobladder or T-pouch”). Apparent-ly, this “T-mechanism” has eliminated the problems asso-ciated with the intussuscepted intestinal segment, while maintaining an effective anti-reflux and continence sys-tem. This article describes in detail the surgical steps for the construction of an ileal T-neobladder.
Orthotopic urinary diversion / Ileal neobladder / T neobladder {{custom_keyword}} /
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