Ureterocutaneous papillary transplantation

The use of cutaneous ureteroplasty to transfer urinary flow is not a satisfactory method, but in the case of individual patients with poor general condition, or colon cancer, should not be transplanted into the colon or bladder, can be considered for ureteral skin transplantation, which is pelvic skin papillary Transplantation is recommended. Treatment of diseases: bladder cancer, elderly bladder cancer Indication The use of cutaneous ureteroplasty to transfer urinary flow is not a satisfactory method, but in the case of individual patients with poor general condition, or colon cancer, should not be transplanted into the colon or bladder, can be considered for ureteral skin transplantation, which is pelvic skin papillary Transplantation is recommended. Preoperative preparation Prepare blood for 600ml. Patients with urinary tract infection should be treated first. After the infection is controlled, the operation should be performed. On the day of surgery, the abdominal plain film should be taken before surgery to determine the position of the stone and whether it has been excreted. Surgical procedure 1. Position, incision: with ureterotomy and stone removal. 2. Forming a flap: After separating the ureter, it is cut at the upper end of the lesion. Two parallel oblique incisions were made at the lower edge of the rib to reach the aponeurosis of the external oblique muscle. It should be noted that the length of the flap should not exceed 2.5 times the width. The flap was separated and a small circular incision was made in the middle to remove the skin and diaphragm. The deep muscles were separated and the size was equal to the diameter of the ureter. At this point, pull the midpoint of the flap forward and suture the ends. 3. Ureteral transplantation: the ureter is passed through the abdominal wall muscle layer and the diaphragm, which is pierced from the central opening of the flap to make it protrude into the nipple. 4. Ureteral port treatment: the proximal ligament of the ureter is removed, the end is divided into two halves in the center, and 3 to 4 stitches are sutured to the edge of the skin. The catheter was drained into the ureter and the wound was removed after healing. The nipple is provided with a finger sleeve under the rubber tube and the drainage bag to collect urine.