Surgical. Correction of Bilharzial Ureteric Stricture by Boari Flap Technique

1993 ◽  
Vol 71 (5) ◽  
pp. 535-538 ◽  
Author(s):  
G. RAVI ◽  
M. A. MOTALIB
1999 ◽  
Vol 54 (4) ◽  
pp. 107-110 ◽  
Author(s):  
Paulo Tuma Jr. ◽  
Gino Arrunategui ◽  
Alexandre Wada ◽  
Henri Friedhofer ◽  
Marcus Castro Ferreira

The authors analysed a series of 22 patients undergoing surgical correction of congenital hand syndactyly by the rectangular flap technique. Using our evaluation method, we found that good functional and aesthetic results were obtained in 77.3% of the patients, with a complication rate of 13.6%. We concluded that the rectangular flap technique has a simple design, is easily reproducible by in-training staff, has good results, and can be applied on the majority of the syndactyly cases.


2015 ◽  
Vol 9 (11-12) ◽  
pp. 805 ◽  
Author(s):  
Egemen Eroglu ◽  
Gokhan Gundogdu

Introduction: We reported on the incidence of isolated penile torsion among our healthy children and our approach to this anomaly.Methods: Between 2011 and 2014, newborn babies with penile torsion were classified according to the angle of torsion. Surgical correction (penile degloving and reattachment for moderate cases and dorsal dartos flap technique in case of resistance) after 6 months was advised to the babies with rotations more than 45°.Results: Among 1000 newborn babies, 200 isolated penile torsions were found, and among these, 43 had torsions more than 45°, and 4 of these had angles greater than 90°. The mean angle of the rotations was found 30.45° (median: 20°). In total, 8 children with 60° torsions were previously circumcised. Surgery was performed on 19 patients, with a mean patient age of 12 ± 2 months. Of these 19, 13 babies were corrected with degloving and reattachment. This technique was not enough on the remaining 6 patients; therefore, derotational dorsal dartos flap was added to correct the torsion. After a mean of 15.6 ± 9.8 months, residual penile rotation, less than 15°, was found only in 2 children.Conclusion: The incidence of isolated penile torsion is 20% in newborns. However, rotation more than 45° angles are seen in 4.3% of male babies. Correction is not necessary in mild degrees, and penile degloving with reattachment is enough in most cases. If the initial correction is insufficient, dorsal dartos flap rotation is easy and effective. Prior circumcision neither disturbs the operative procedure nor affects the outcomes.


2021 ◽  
Vol 47 (3) ◽  
pp. 670-673
Author(s):  
Ben V. Sionov ◽  
Tarek Taha ◽  
Dmitry Preter ◽  
Ramzi Salbaq ◽  
Dov Engelstein ◽  
...  

2013 ◽  
Vol 82 (6) ◽  
pp. 350-355
Author(s):  
J. Defoor ◽  
T. Bosmans ◽  
M. Doom ◽  
I. Schwarzkopf ◽  
H. De Rooster

A 7-month-old male castrated European shorthair cat was presented because of a recurrent cleft of the soft palate. Surgical correction had already been performed twice by a local veterinary practitioner. For the third correction, a pharyngeal overlapping flap was used but again, dehiscence occurred. Finally, the angularis oris axial pattern buccal flap technique, as described in dogs, was applied. The flap covered the defect without any tension, and good vascularization was appreciated during the whole procedure. Because of severe swelling of the intraoral tissues at the end of the procedure, dexamethasone was administered intravenously. Almost instantly after the injection, the cat went into cardiorespiratory arrest, and died shortly after.


Author(s):  
Kenji Koneri ◽  
Takanori Goi ◽  
Michiaki Shimada ◽  
Noriyuki Tagai ◽  
Hidetaka Kurebayashi ◽  
...  

Introduction: The Boari flap technique is a unique urinary tract reconstruction procedure performed after resection of the urinary tract. However, few previous reports have described the application of this technique to gastrointestinal cancer. Moreover, we have not found any papers describing the long-term prognosis. We report a case of right ureteral tract resection followed by Boari flap reconstruction for rectosigmoid carcinoma, with survival for 108 months without any urological complications. Case presentation: A woman in her 50s was diagnosed with rectosigmoid caner by local physician and referred to our institution. Computed tomography revealed right hydronephrosis due to rectosigmoid cancer invasion at the lower two-thirds of the right ureter. During laparotomy, massive lymphatic infiltration from the primary lesion to right ureter was observed. After primary tumor resection with lower ureter excision, the Boari flap procedure was performed to reconstruct the ureteral deficit. Postoperative course was uneventful, and she was discharged on postoperative day 20. The patient has been followed every 4 months for 9 years with no recurrence or unpleasant symptoms. Discussion: This technique is usually performed to manage specific conditions such as ureteral stenosis caused by ureteral calculi, retroperitoneal fibrosis, and gynecological disorders. This procedure should be reconsidered as a possible option for gastrointestinal malignant cases instead of nephrostomy or cutaneous ureterostomy, given the low rate of complications and high patient satisfaction. Conclusion: The Boari flap technique is particularly useful for bridging between the ureter and bladder in cases of colorectal malignancy with combined resection of the lower urinary tract.


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