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Construction of ileal nipples as anti-reflux valve technique.

Authors
  • Janknegt, R A
Type
Published Article
Journal
European urology
Publication Date
Jan 01, 1988
Volume
14
Issue
1
Pages
46–49
Identifiers
PMID: 3342805
Source
Medline
License
Unknown

Abstract

When an ileal loop is used to replace the ureter or to create a urinary pouch, an adequate anti-reflux mechanism is essential. Intussusception of the ileal wall can be used but a proper technique must be chosen to prevent necrosis of the nipple. Good knowledge of the vascularization of the ileal wall is necessary. Leaving a 1-cm strip of mesenterium when stripping it from the ileal wall provides adequate circulation. Nipples of 3 cm or longer are enough to create an anti-reflux mechanism.

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