METHOD OF SURGICAL REHABILITATION OF PATIENTS AFTER CYSTECTOMY WITH BLADDER INTESTINOPLASTY IN FORMATION OF URETERO-RESERVOIR ANASTOMOSIS STRICTURES

摘要

FIELD: medicine.;SUBSTANCE: urinary reservoir is mobilized and the area of the uretero-reservoir anastomosis stricture is revealed. The ureter is mobilized 3-4 cm above the detected narrowing, the stricture is excised. The urinary reservoir wall defect is closed with a Z-shaped suture. An aperture is formed in the urinary reservoir wall, along the antiplatelet edge, commensurate with the ureter diameter. A serous-muscular suture is applied between the ureter wall and the reservoir wall at a distance of 5-10 mm from the opening edge. Two nodal intracorporeal sutures form the posterior wall of the anastomosis. The ureter is stented. Nodal intracorporeal sutures form the anterior wall of the anastomosis. The second serous-muscular suture is applied on the side opposite the first suture. The stent is removed from the ureter by reservoirroscopy after 3-4 weeks.;EFFECT: elimination of uretero-reservoir anastomosis stenosis.;1 ex, 18 dwg