Ruptures of orthotopic ileoneocystis


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Abstract

Urgent surgical treatment was conducted in 3 patients admitted to hospital with neocystic rupture which occurred 6, 10 and 22 months after removal of the bladder with orthotopic cystoplasty. Two patients have undergone laparotomy, neocystic defect repair and drainage. In the third patient mobilization of the reservoir was accompanied with accidental cut of the ureters. Relaparotomy was made with bilateral ureterocutaneostomy. Intestinal plastic reconstruction of both ureters followed after stabilization of the patients' condition. Thus, all the patients with ileoneocystis rupture were successfully rehabilitated.

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