7934 Omental FLAP for Preventing & Treating Localised Ureteric Injury

Abstract

<h3>Study Objective</h3> Revascularization of ureter by using vascularized omental flap. <h3>Design</h3> Prospective analysis <h3>Setting</h3> Patient underwent 3D laparoscopy, all procedures done by experienced and qualified team. <h3>Patients or Participants</h3> 5 patients. <h3>Interventions</h3> Case 1- In uterine transplant donor the vascular omental flap used for devascularized ureter along with DJ stent. Case 2- In patient of LRH devascularization of ureter was there so vascular omental flap used. CAse 3- Bilateral ureter normal but leak present, vascular omental wrapping done at the UV junction. Case 4- Grade IV endometriosis with right ureteric stricturoplasty and omental wrapping done. Case 5- Post radiation (O/C/O Ca endometrium) bilateral uretero-uretero anastomosis and omental wrapping <h3>Measurements and Main Results</h3> All the patients in whom vascularized omental flap was used has no complications and long-term follow-up did not show any evidence of ureteric strictures. <h3>Conclusion</h3> we propose a vascularized omental flap in addition to a DJ stent following extensively devascularized ureters in cases of severe endometriosis or cancer surgeries.