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RU2016109932A - METHOD FOR HETEROTOPIC INTESTINAL PLASTIC URINE NEOCYSTIS - Google Patents

METHOD FOR HETEROTOPIC INTESTINAL PLASTIC URINE NEOCYSTIS Download PDF

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Publication number
RU2016109932A
RU2016109932A RU2016109932A RU2016109932A RU2016109932A RU 2016109932 A RU2016109932 A RU 2016109932A RU 2016109932 A RU2016109932 A RU 2016109932A RU 2016109932 A RU2016109932 A RU 2016109932A RU 2016109932 A RU2016109932 A RU 2016109932A
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RU
Russia
Prior art keywords
bladder
intestine
stitching
dissected
intestinal
Prior art date
Application number
RU2016109932A
Other languages
Russian (ru)
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RU2654576C2 (en
Inventor
Роман Ромаевич Погосян
Михаил Иванович Васильченко
Игорь Владимирович Семенякин
Максим Васильевич Забелин
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Роман Ромаевич Погосян
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Publication date
Application filed by Роман Ромаевич Погосян filed Critical Роман Ромаевич Погосян
Priority to RU2016109932A priority Critical patent/RU2654576C2/en
Publication of RU2016109932A publication Critical patent/RU2016109932A/en
Application granted granted Critical
Publication of RU2654576C2 publication Critical patent/RU2654576C2/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Prostheses (AREA)

Claims (1)

Способ гетеротопической тонкокишечной пластики мочевого неоцистиса, заключающийся в создании мочевого пузыря из изолированного сегмента подвздошной кишки, отличающийся тем, что, отступив в проксимальном и дистальном участках по 10 см, производят вскрытие W-образного сегмента подвздошной кишки путем рассечения всех слоев кишки по противобрыжеечному краю, формирование тонкокишечного (артифициального) мочевого пузыря начинается путем сшивания задних стенок рассеченной кишки однорядным узловым швом, в состоянии умеренного натяжения по длине и ширине рассеченные и обращенные друг к другу края обоих двух колен сшивают непрерывным швом рассасывающейся нитью, сформированный кишечный лоскут затем складывается в большой резервуар, сшивая края кишечного лоскута, создают переднюю стенку мочевого пузыря путем сшивания задних стенок рассеченной кишки, а затем сшиванием передней стенки формируют резервуар для мочи с низким давлением, в дистальном недетубуляризированном участке мочевого пузыря подводят дистальные концы мочеточников с наложением антирефлюксных пузырно-мочеточниковых анастомозов, при формировании стомы проксимальный конец недетубуляризированного участка мочевого пузыря выводят через разрез в левой подвздошной области.The method of heterotopic small bowel plasty of urinary neocystis, which consists in creating a bladder from an isolated segment of the ileum, characterized in that, having retreated in the proximal and distal sections of 10 cm, the W-shaped segment of the ileum is opened by dissecting all layers of the intestine along the non-mesenteric edge, the formation of the small intestine (artifical) bladder begins by suturing the posterior walls of the dissected intestine with a single-row interrupted suture, in a state of moderate tension along the length and width of the dissected and facing each other the edges of both two knees are sutured with a continuous suture of absorbable suture, the formed intestinal flap is then folded into a large reservoir, stitching the edges of the intestinal flap, creating the front wall of the bladder by stitching the back walls of the dissected intestine, and then stitching the front wall form a reservoir for urine with low pressure, in the distal undetubularized section of the bladder, the distal ends of the ureters with the application of antireflux bladder urine chnikovyh anastomoses, when forming an ostomy nedetubulyarizirovannogo proximal end portion of the bladder is removed via an incision in the left iliac area.
RU2016109932A 2016-03-18 2016-03-18 Method of heterotopic small intestinal plastics of urinary neobladder RU2654576C2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
RU2016109932A RU2654576C2 (en) 2016-03-18 2016-03-18 Method of heterotopic small intestinal plastics of urinary neobladder

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
RU2016109932A RU2654576C2 (en) 2016-03-18 2016-03-18 Method of heterotopic small intestinal plastics of urinary neobladder

Publications (2)

Publication Number Publication Date
RU2016109932A true RU2016109932A (en) 2017-09-21
RU2654576C2 RU2654576C2 (en) 2018-05-21

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RU2016109932A RU2654576C2 (en) 2016-03-18 2016-03-18 Method of heterotopic small intestinal plastics of urinary neobladder

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2749483C1 (en) * 2020-10-30 2021-06-11 федеральное государственное бюджетное образовательное учреждение высшего образования "Северо-Западный государственный медицинский университет им. И.И. Мечникова" Министерства здравоохранения Российской Федерации Method of surgical treatment of a combination of severe ormond's disease and interstitial cystitis with an outcome in microcystis

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2337630C1 (en) * 2007-04-05 2008-11-10 Васильченко Михаил Иванович Method of orthotopic enteral cystoplasty

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RU2654576C2 (en) 2018-05-21

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Effective date: 20180524