Traditional (Retroperitoneal) and Abdominal Wall (Ectopic) Reservoir Placement

摘要

Department of Urology, Coral Gables Hospital, Coral Gables, FL, USAFor traditional retroperitoneal reservoir placement into the space of Retzius through a scrotal or infrapubic incision, first evacuate the bladder. Displace the incision over the right or left inguinal ring. Palpate the pubic tubercle for orientation and pass the linger ccphaiad into the medial aspect of the inguinal ring, piercing fascia downward and slightly medial with finger, scissors, pointed clamp or nasal speculum. The medial orientation helps avoid damage to underlying lateral large vessels. Place the reservoir in the retroperitoneal space (feel retroperitoneal fat), keeping the valve anterior and avoiding kinking the tubing or reservoir neck. This prevents invalidation of the Coloplast lockout valve; the American Medical Systems (AMS) lockout valve is in the pump. The reservoir lies behind the pubic bone (scrotal placement) or more toward the head (infrapubic placement).