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Dissertation zugänglich unter
URN: urn:nbn:de:gbv:18-45884
URL: http://ediss.sub.uni-hamburg.de/volltexte/2010/4588/


HIGH URINARY DIVERSION (TRANSVERSE COLON POUCHTRANSVERSE COLON CONDUIT)

Hoch Urinableitung (Transversumpouch- Transversumkonduit)

Sayed Ahmed, Khalid Ahmed Mahmoud

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 Dokument 1.pdf (17.089 KB) 


Basisklassifikation: 44.88
Institut: Medizin
DDC-Sachgruppe: Medizin, Gesundheit
Dokumentart: Dissertation
Hauptberichter: Fisch, Margit (Prof. Dr.)
Sprache: Englisch
Tag der mündlichen Prüfung: 08.04.2010
Erstellungsjahr: 2010
Publikationsdatum: 29.04.2010
Kurzfassung auf Englisch: I. The results of high urinary diversion using transverse colon in patients with
previous history of irradiation are excellent.
II. This retrospective study showed that the indications of transverse colon
diversion was not limited to patients with history of irradiation as 21.7% of
patients included in this study had no history of irradiation.
III. Transverse colon is bowl segment of choice for urinary diversion in
previously irradiated patients to avoid the complications of using irradiated
bowel.
IV. Nonrefluxing uretero-intestinal implantation techniques are not needed in low
pressure urinary reservoirs.
V. The results of transverse colon pouch were very encouraging, with excellent
continence rates. We suggest that this technique of continent urinary
diversion should be considered as a suitable alternative to other methods.
VI. Although most of patients included in this study have history of irradiation and
previous operation the results was excellent, so it expected that the results
will be better if the indications of this technique are generalized to all patients
in need of urinary diversion.
VII. We recommend prospective study in lager number of patients comparing the
outcome of transverse colon diversion in patients with history of irradiation,
with the outcome in patients in need of urinary diversion without history of
irradiation, with consideration and more detailed evaluation of quality of life in
both groups.

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