V1540 THE LAPAROSCOPIC BOARI FLAP

Abstract

You have accessJournal of UrologyReconstruction1 Apr 2010V1540 THE LAPAROSCOPIC BOARI FLAP Mahmoud Shalaby, Ahmed Shoma, Fathy Elanany, Nashwa Barakat, and Magdy El-Akkad Mahmoud ShalabyMahmoud Shalaby Assiut, Egypt More articles by this author , Ahmed ShomaAhmed Shoma Mansoura, Egypt More articles by this author , Fathy ElananyFathy Elanany Assiut, Egypt More articles by this author , Nashwa BarakatNashwa Barakat Mansoura, Egypt More articles by this author , and Magdy El-AkkadMagdy El-Akkad Assiut, Egypt More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1292AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laparoscopic ureteroneocystostomy in humans was first described by Ehrlich and colleagues in 1994 for management of vesicoureteral reflux. Loss of distal ureteral segment may interfere with tension-free ureteroneocystostomy. In this particular situation, the Boari flap is a solution, which stood the test of time. Objective: to test the feasibility of laparoscopic Boari flap ureteroneocystostomy in an experimental setting before clinical application. METHODS This video describes the technique of laparoscopic Boari flap to restore the patency of an experimentally ligated ureter of a female Mongorel dog. Four dogs were subjected to this experiment. Partial obstruction of the ureter was performed three weeks before the procedure. Follow up IVU and retrograde cystogram were performed three weeks after removal of stents. RESULTS Operative time for the laparoscopic Boari flap procedures ranged from 230 to 360 minutes (mean 271 minutes) again with remarkable improvement after the first procedure (360 minutes for the first, 240 minutes for the second, 255 minutes for the third and 230 minutes for the fourth procedure). All dogs experienced smooth postoperative course. Intravenous urography was performed three weeks after removal of stents and all the four renal units showed normal secretion of the dye, normal size and patent, normal ureters. CONCLUSIONS Laparoscopic Boari flap is a feasible technique, which requires orientation with the principals of reconstructive laparoscopic surgery. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e594 Peer Review Report Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mahmoud Shalaby Assiut, Egypt More articles by this author Ahmed Shoma Mansoura, Egypt More articles by this author Fathy Elanany Assiut, Egypt More articles by this author Nashwa Barakat Mansoura, Egypt More articles by this author Magdy El-Akkad Assiut, Egypt More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...