RU2012136073A - METHOD FOR SURGICAL TREATMENT OF AN EXTENDED TURNING OF THE URETER, GRABING ITS EXTREMITAL DEPARTMENT WITH EXPRESSED CIRCULAR AND ADHESIVE PROCESS IN THE FIELD OF PULNAM AND RENAL VESSELS - Google Patents
METHOD FOR SURGICAL TREATMENT OF AN EXTENDED TURNING OF THE URETER, GRABING ITS EXTREMITAL DEPARTMENT WITH EXPRESSED CIRCULAR AND ADHESIVE PROCESS IN THE FIELD OF PULNAM AND RENAL VESSELS Download PDFInfo
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- RU2012136073A RU2012136073A RU2012136073/14A RU2012136073A RU2012136073A RU 2012136073 A RU2012136073 A RU 2012136073A RU 2012136073/14 A RU2012136073/14 A RU 2012136073/14A RU 2012136073 A RU2012136073 A RU 2012136073A RU 2012136073 A RU2012136073 A RU 2012136073A
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- pelvis
- ureter
- wound
- laparotomy
- lumbotomy
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Abstract
Способ хирургического лечения протяженного сужения мочеточника, захватывающего его прилоханочный отдел с выраженным рубцово-спаечным процессом в области лоханки и почечных сосудов, заключающийся в том, что выполняют лапаротомию, при этом мобилизуют почку, выделяют лоханку, резецируют рубцово-измененный мочеточник, и, отступя от илеоцекального угла 25-30 см, формируют трансплантат на брыжейке из сегмента тонкой кишки длиной 20-25 см, проходимость тонкокишечной трубки восстанавливают анастомозом «конец в конец», сформированный трансплантат располагают изоперистальтически и выполняют анастомоз между дистальным его концом и мочевым пузырем, а также между его проксимальным концом и лоханкой, лапаротомную рану послойно ушивают, отличающийся тем, что до выполнения лапаротомии дополнительно выполняют люмботомию, при этом мобилизуют прилоханочный отдел мочеточника, рубцово-измененный мочеточник отсекают от лоханки, рану в поясничной области оставляют открытой и выполняют нижнесрединную лапаротомию, затем проксимальный конец трансплантата проводят через окно в брыжейке толстой кишки в люмботомическую рану для выполнения анастомоза с лоханкой, люмботомическую рану послойно ушивают.A method of surgical treatment of an extended narrowing of the ureter, which captures the parietal region with a pronounced scar adhesions in the pelvis and renal vessels, which involves performing a laparotomy, mobilizing the kidney, secreting the pelvis, resecting the scarred ureter, and stepping back from ileocecal angle of 25-30 cm, a graft is formed on the mesentery from a segment of the small intestine 20-25 cm long, patency of the small intestine tube is restored with an end-to-end anastomosis, the transplant formed they have isoperistaltic placement and perform an anastomosis between its distal end and the bladder, as well as between its proximal end and the pelvis, the laparotomy wound is sutured in layers, characterized in that lumbotomy is additionally performed before laparotomy is performed, while the ureter’s extracellular mobility is scarred, the scarring is excised from the pelvis, the wound in the lumbar region is left open and a lower middle laparotomy is performed, then the proximal end of the graft is carried out through the window in the mesentery gut in the lumbotomy wound to perform anastomosis with the pelvis, the lumbotomy wound is sutured in layers.
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RU2012136073/14A RU2511086C2 (en) | 2012-08-21 | 2012-08-21 | Method for surgical management of extended ureterostenosis with parapelvic involvement and severe cicatricial adhesive process in pelvis and renal vessels |
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RU2012136073/14A RU2511086C2 (en) | 2012-08-21 | 2012-08-21 | Method for surgical management of extended ureterostenosis with parapelvic involvement and severe cicatricial adhesive process in pelvis and renal vessels |
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RU2012136073A true RU2012136073A (en) | 2014-02-27 |
RU2511086C2 RU2511086C2 (en) | 2014-04-10 |
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RU2012136073/14A RU2511086C2 (en) | 2012-08-21 | 2012-08-21 | Method for surgical management of extended ureterostenosis with parapelvic involvement and severe cicatricial adhesive process in pelvis and renal vessels |
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Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
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RU2744022C1 (en) * | 2020-06-25 | 2021-03-02 | федеральное государственное бюджетное образовательное учреждение высшего образования "Северо-Западный государственный медицинский университет им. И.И. Мечникова" Министерства здравоохранения Российской Федерации | Method for surgical treatment of ureter long strictures |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
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RU2252716C1 (en) * | 2004-02-13 | 2005-05-27 | Государственное образовательное учреждение высшего профессионального образования Башкирский государственный медицинский университет Министерства здравоохранения Российской Федерации (ГОУ ВПО БГМУ Минздрава России) | Method for exposing kidney and upper ureter portion when performing videoretroperitoneoscopic operations and device for laminating perirenal cellular tissue |
RU2373868C1 (en) * | 2008-07-21 | 2009-11-27 | Государственное образовательное учреждение высшего профессионального образования "Санкт-Петербургская государственная медицинская академия им. И.И. Мечникова Федерального агентства по здравоохранению и социальному развитию" | Method of surgical treatment of ureter pelvic part constriction in patients with ablated or non-functioning opposite kidney |
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Effective date: 20140822 |