METHOD OF CYSTOSTOME APPLICATION ASSOCIATED WITH COMBINED, REPEATED OR RECONSTRUCTIVE-REGENERATIVE OPERATIONS OF ABDOMINAL ORGANS AND URINARY TRACTS

摘要

FIELD: medicine.;SUBSTANCE: operative intervention of urinary bladder and ureters is performed by median intraperitoneal or extraperitoneal access followed with layered tight closure of abdominal cavity or abdominal wall, rupture of urinary bladder anterior wall, intubation of right and/or left ureters combined with cystourethroneoanastomosis from urinary bladder lumen with polymeric tubes, installation of drainage tube for urinary bladder through incision or separate puncture, and taking intubation tube of right and/or left ureters out with following fixing to bladder wall, closure of bladder wound, taking cystostomic tubes and intubation tubes out in case of right and/or left ureters damage or resection to anterior abdominal wall within left or right hypogastric area by pararectal line through separate punctures of abdominal wall of diameter up to 1 cm above Poupart's ligament by 2-3 cm and fixing to hypogastric area skin, draining of paravesical space and small pelvis cavity with silicone tube combined with intraperitoneal access to urinary tracts, control of hemostasis and lavage of paravesical space and abdominal cavity with antiseptic solutions, skin suturing, antiseptic bandage, thus 12 days after operation intubation tubes of ureter is removed, and 14 days after operation cystostomic tube is removed.;EFFECT: method enables to reduce number of postoperative inflammatory complications; risk of ventral hernia development and to restore a normal anatomic passage of urine.;3 ex, 4 cl