What is boari flap?

What is boari flap?

Boari flap is the preferred method of repairing long- segment ureteral defects of 8–12 cm. The procedure has undergone change from classical open (transperitoneal and retroperitoneal) method to laparoscopic surgery and recently robotic surgery.

What is psoas hitch procedure?

A psoas hitch is a method of ureteric re-implantation following an injury to the ureter. The reconstruction is indicated when the distal ureter is injured or resected, and the remaining portion of ureter cannot reach the bladder for ureteral reimplantation.

Who was boari?

INTRODUCTION AND OBJECTIVE: Achille Boari was a urological surgeon in Ferrara, Italy, and dedicated his career to surgery of the ureter. He described the technique of a bladder flap in 1894 to replace the lower ureter although it was not performed in a patient until 1936.

How long does it take for ureter to heal?

Studies of ureteral healing have demonstrated that the mucosa has healed by 3 weeks and muscular continuity is established by 7 weeks. Thus, many recommend that a stent remain in place for 6-8 weeks after a repair. Stents come in various diameters (4-8F) and lengths.

How long is a ureteral reimplantation surgery?

The surgery takes 2 to 3 hours. During surgery, the surgeon will: Detach the ureter from the bladder. Create a new tunnel between the bladder wall and muscle in a better position in the bladder.

How long is recovery from ureteral reimplantation surgery?

If your child goes to school or daycare, they may return when they are ready. This is usually in about 1 to 2 weeks. Do not allow your child to do strenuous activity for about 4 to 6 weeks, or until your doctor says it is okay. This includes riding bikes, playing running games, wrestling, and taking part in gym class.

When do you use boari flap?

Boari flap is a useful option when the diseased segment of the ureter is too long, or ureteral mobility is too limited to perform a primary ureteroureterostomy. Boari flaps can be created to bridge a 10- to 15-cm ureteral defect.

What is your psoas?

The psoas muscle is located in the lower lumbar region of the spine and extends through the pelvis to the femur. This muscle works by flexing the hip joint and lifting the upper leg towards the body. A common example of the movement created from this muscle is walking. Psoas syndrome is a very rare condition.

How do you pronounce boari flap?

Boari flap (boh-ah-ri) n. a tube of bladder tissue constructed to replace the lower third of the ureter when this has been destroyed or …

What is ureteral anastomosis?

The ureter can be anastomosed to itself or to another ureter, to the renal pelvis or calyces above or to the bladder below 1. 1. Uretero-Ureteral Anastomosis. Such anastomoses may be made between two segments of the one ureter or between a ureter and the ureter of the opposite side.

Is ureteral reimplantation surgery painful?

This procedure changes the way the ureter is attached to the bladder. The surgery takes place in the hospital while your child is asleep and pain-free.

How is a ureteral reimplantation done?

What does ureteral reimplantation involve? The patient is given a general anaesthetic to put them to sleep. The surgeon goes in and detaches the ureter. They then create a new hole in a better position, making a tunnel for the ureter between the bladder wall and muscle.

How long does ureter take to heal?

Is there an artificial ureter?

This is called artificial ureter (AU). Proximal end of the AU was introduced in the kidney percutaneously, the tube was passed through a subcutaneous tunnel, while the distal end was inserted in the bladder through a small suprapubic incision. Results: Follow-up ranged from six months to ten years.

  • September 18, 2022