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Year : 2021  |  Volume : 37  |  Issue : 2  |  Page : 189-190

Laparoscopic appendicular interposition ureteroplasty for mid-ureteral defect


Department of Urology, VPS Lakeshore Hospital, Kochi, Kerala, India

Correspondence Address:
Vigneswara Srinivasan Sockkalingam Venkatachalapathy
Department of Urology, VPS Lakeshore Hospital, Kochi, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iju.IJU_117_20

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Patients with ureteral defects and salvageable renal units present a challenge in reconstructive urology. Vermiform appendix interposition is an option in the management of mid-ureteral defects that can not be managed by primary ureteroureterostomy. Laparoscopic appendicular interposition ureteroplasty is a technically demanding and an infrequently attempted procedure. We present a video demonstration of laparoscopic appendicular interposition for a 4-cm long right mid-ureteral defect in an elderly male. Laparoscopic appendicular interposition ureteroplasty for mid-ureteral defects can provide good long-term functional outcomes with results comparable to an open approach and has the advantage of reduced morbidity.


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