SU1311716A1 - Method of treatment of ectopic ureterocele of additional ureter of children - Google Patents

Abstract

This invention relates to medicine, in particular to pediatric urology, intended for the surgical treatment of Zfeterophenol. The purpose of the invention is to reduce the morbidity of the operation, which is achieved by excision of the ureterocene extracellularly. For this purpose, an oblique lumbar incision of the patient's tissues is performed and the upper hemonefrutereterectomy or the pelvic-ureteral anastomosis is performed with the division and excision to the lower third of the additional ureter. Through the urethra, a metal can is introduced into the bladder (P FIG. 3

Description

131

tetra 4. A posterior lateral wall 2 of the bladder and the lower third of the accessory ureter are extraperitoneally located by the rectal incision. An incision is made through all layers on the wall of the accessory ureter opposite to the main ureter 6, passing to the wall of the bladder, opening the ureterotsel 3 to the cavity. The lower third of the additional ureter is cut to the level of the bladder wall. The catheter is pushed into the wound.

The invention relates to medicine, in particular to pediatric urology, and is intended for the surgical treatment of the ureterocele.

The purpose of the invention is to reduce the herbal nature of the operation, which is achieved by excision of the ureterocele extracellularly.

FIG. 1 shows the position of the ureterocele prior to the operation in FIG. 2 - making an incision on the wall of the ureter and the wall of the bladder; in fig. 3 shows the position of the anterior wall of the zfeterocele before excision in FIG. 4 shows the posterior-lateral wall of the bladder after suturing.

FIG. 1-4 denote the lower third of the 1 additional ureter, the back of the non-lateral wall 2 of the bladder, the anterior wall 3 of the ureterotsel, catheter 4, the stitches 5, the main ureter 6, the catgut sutures 7.

Method of treating ectopic ur

Terocele is performed as follows.

The patient is obliquely cut through the lung tissue of the patient and an upper hemi-infumeretectomy or a pelvic-ureteral anastomosis is performed with the dissection and excision of the additional ureter to its lower third. A metal catheter 4 is inserted into the bladder through the urethra. The pararectal incision separates the posterolateral wall 2 of the bladder and the lower third of the 1 additional ureter. Make a cut through all layers on the opposite side of the main ureter.

716

the anterior wall of the ureterocele and two sutures-holders 5 are placed on the lower corner of the wound, between which the wall is cut through the ureterocele, they are convinced that the mouth of the main ureter 6 is not open in the ureterocele, the anterior wall of the ureterocele, the wound of the bladder is completely open sutured with a double catgut suture, a drainage tube is inserted and the surgical wound is sutured in layers to a drainage tube, 4 Il.

five

0

five

0

35

6 to the wall of the additional ureter 1 with the transition to the wall 2 of the urinary puzgr. The incision is made 3-4 cm long, and the cavity is opened to the ureterotsel. The lower third of the 1 additional ureter is cut to the level of the wall 2 of the urinary chord.

A catheter 4 pushes the front wall 3 of the ureterotsel into the wound and two sewers 5 are placed in the lower corner of the wound. Between the suture-holder 5 they dissect the wall 3 of the ureterocele and are convinced that the mouth of the main ureter 6 does not open in the ureterocele 6. Circular completely excise the anterior wall 3 of the ureterocele, the wound of the bladder is sutured with two-band catgut suture 7, the drainage tube is brought in and the surgical wound is sutured in layers to the drainage tube. When the mouth of the main ureter 6 opens in the ureterocele, part of the wall 3 is left to the mouth of the main ureter 6.

An example. Sick P., 4 years old, was admitted to the hospital with complaints of abdominal pain, there were pathological changes in urine tests. On the basis of clinical, laboratory, radiological and endoscopic methods of research, a complete duplication of the right kidney of the ureters, the ectopic ureterotseum of the additional ureter, segmental ureterohydronephrosis of the upper half of the doubled kidney, chronic pyelonephritis was established in the girl. An operation was carried out. A metal catheter is inserted through the urethra into the urinary chambers. Ko313

The right kidney was isolated by a lung incision and the upper heminefrureterectom was produced according to a known method. The additional ureter was isolated and cut off to the border of the lower and middle third. The right-sided pararectal incision extraperitoneally allocated the lower third of the accessory ureter to the bladder. The ureter is cut off at a distance of 1 cm from the puzf. The wall of the secondary ureter on the side opposite to the main ureter is longitudinally dissected through all layers, the incision is made through the wall of the bladder for 3 cm. The anterior wall of the ureterocele is visible in the depth of the wound. The metal catheter was lastly turned out through the incision of the bladder wall and captured by forceps at the top. In the lower corner of the wound, two provisional sutures are placed on the wall of the ureterocele, between which the wall is opened.

Making sure that the mouth of the main ureter does not open in the ureterocele, a circular excision of the wall of the ureterocele is made. The wound of the urinary puff is washed up tightly with two-way catgut yatum. A drainage tube is connected to the bladder. Surgical wound is sutured in layers to drainage.

17164

The postoperative period was uneventful. Near drainage removed on the third day after surgery. The girl was discharged with recovery. With repeated examination after 3 months, the state is satisfactory, no complaints. Cystoscopy: the ureterocele is absent, in its place there is a small retractile scar.

Compared with the known method, the proposed method allows not to open the front wall of the urinary chamb and not to injure its mucous membrane.

Formula of invention

A method of treating an ectopic ureterocele of the accessory ureter in children by excision, characterized in that, in order to reduce the morbidity of the operation, the ureterocele is excised without a bullet, thus making an incision in the wall of the uterine ureter opposite to the main ureter, with a wall pattern, with a wall pattern, to get a wall pattern, to get a wall pattern, to get a wall pattern, to get a ureteric ureter, ureteric urethral surgery; , the cavity is opened by the ureterotsel, and its excision is carried out after pushing the catheter into the incision of its front wall, which is held in the urinary bladder along the urethra.

FIG 2

FIG.

Claims (1)

Claim A method of treating an ectopic ureterocele of an additional ureter in children by excising it, characterized in that, in order to reduce the invasiveness of the operation, the ureterocele is excised unbubble, an incision is made on the wall of the additional ureter opposite to the main ureter, with a passage to the bladder wall, the ureter cavity is opened and its excision is carried out after pushing into the incision of its front wall by a catheter held in the bladder along the urethra. FIG. 2