Boari flap (Boariflap)

A Boariflap is a surgical procedure in which a tube made from bladder tissue is used to replace the lower third of the ureter. This operation is performed when there is damage or tumor to the ureter.

With a Boari flap, surgeons cut a flap from the wall of the bladder and form a tube from it, which is then sutured to the upper parts of the ureter, replacing its damaged lower segment. This allows you to restore the patency of the ureter and the outflow of urine from the kidney to the bladder.

The operation is indicated for injuries, inflammatory diseases or tumors of the lower third of the ureter, when it is impossible to directly restore its integrity. The advantage of the Boari flap is the use of the patient's own tissue, which reduces the risk of graft rejection.

The Boari flap refers to ureteroplasty operations, the purpose of which is to restore the patency of the ureter using various surgical techniques.

Boari flap is a surgical operation to replace the lower third of the ureter, which is performed when there is damage or tumors of the ureter. This surgery is a type of ureteroplasty, a procedure in which a damaged or diseased ureter is replaced with a tube made from bladder or bowel tissue.

During the operation, an incision is made in the abdomen, which allows the surgeon to access the ureter and lower part of the bladder. The surgeon then makes a piece of tissue from the bladder and attaches it to the lower part of the ureter with sutures. In this way, the ureter receives new support and can continue to function.

The Boari flap has several advantages over other ureteroplasty techniques, such as the use of artificial materials or grafts. Firstly, the Boari flap is a completely natural material, which reduces the risk of rejection or allergic reactions. Secondly, the flap has high strength and elasticity, which allows it to adapt to the shape and size of the ureter and provide a reliable connection.

However, like any other operation, the Boari flap may have its risks and complications. Some of these include infection, bleeding, scarring, or even death of the patient. Therefore, before performing an operation, the surgeon must conduct a thorough examination of the patient and discuss with him all the possible risks and benefits of the operation.

Overall, the Boari flap is an effective and safe method of ureteroplasty for ureteral injuries or tumors. It has several advantages over other methods of ureteral replacement, and its use may be especially useful in cases where the patient needs rapid restoration of ureteral function.

The artificial loofah, formerly called the "Boari floppe" or "salmon loofah", was introduced by surgeon Felix Binar in 1951; it was intended to solve the problem of a urinary catheter requiring daily replacement at a new outlet. This was replaced with a bladder tissue tube after some processing to help ensure proper placement of the tube and release the patient's sediment. Artificial sponges were first introduced in 2008, and they are the mainstay of treatment for urological injuries of the lower urinary tract (with open fracture), and can also be used for ureteral tumors,