What is Boari flap?
A Boari bladder flap is one of the options for ureteric reimplantation when the diseased ureteric segment is long (e.g. more than 5 cm). It is useful in the management of lower ureteric strictures and can be performed as either an open or laparoscopic procedure.
How do you pronounce boari flap?
Boari flap (boh-ah-ri) n.
What is psoas hitch?
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.
Why is the ureter bladder anastomosis retracted into the bladder?
The bladder is moderately filled and then retracted medially to help identify the ureter. The obliterated hypogastric artery is identified and ligated.
Can a damaged ureter be fixed?
Indications a patient may need a ureter repair include injury during pelvic surgery, radiation, endoscopic stone procedures, cancers of the urinary tract or retroperitoneal fibrosis. There are a number of different surgical approaches to ureter repair and management.
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.
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.
What is ureteral reimplantation?
Ureteral reimplantation is surgery to change the position of these tubes where they enter the bladder wall.
How long does a bladder tear take to heal?
It usually takes at least 10 days for the bladder to heal.
Where do you feel ureter pain?
Symptoms and Causes However, stones that block the ureter or any of the kidney’s drainage tubes may cause symptoms that include: Severe, intermittent (comes and goes) pain in the upper flank (in the back, under the lower ribs) that can radiate (spread) to the lower abdomen, and; Nausea and vomiting.
How do you know if your ureter is damaged?
Symptoms of Ureteral Injuries People with ureteral injuries may complain simply of pain in the abdomen or the area between the ribs and the hip (flank), or they may notice urine leaking from their wound. Fever may accompany an infection caused by persistent urinary leakage. Blood may appear in the urine.