Thursday, August 6, 2015

UROLOGIC OPERAYION 13 cutaneous ureterostomy


Cutaneous Ureterostomy
Objective
In case of ureteral obstruction
•   opening of a ureteral stoma on the abdomi­nal wall.
Position
Lateral or supine.
Anesthesia
General.
Procedure
1.  A flank incision is made.
2.  The ureter is exposed and dissected free.
3.  The ureter transected as far as possible exits out a stoma site (sutured) to the abdominal skin.
Instruments
•   General set.
•   Deep instrument set.
•   Self-retaining abdominal retractor (e.g. Balfour).
•   Hemoclip appliers (various sizes and lengths).
•   Iris scissors and fixation forceps (ureteroureterostomy).

Any uestioms be sent to drmmkapur@gmail.com
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