Ureteropyeloneostomy

Ureteropeloneostomy **Ureteroneostomy of the ureteral orifices for revision and control of nephrostomy drainage\nRemoval of urine from the kidney and supply of fluid to the kidney** Removal of the ureters from the abdominal cavity into the surrounding tissue and reinforcement of them with a drainage tube Attaching the ureters to the anterior wall of the abdomen Using a one-stage operation.

*Patient F., 76 years old, medical history: stenting of the right ureteral pelvis for localized paranephritis to the right of the stone in the lower third of the urinary tract. Initially, after stenting and installation of a nephrostomy_ In general surgery, patient F. underwent treatment in the form of contact, primary urine with a recurrence of clinical manifestations of the paraprocess of the right renal pelvis (pain on palpation of the right lumbar region, general intoxication phenomena). In this regard, there was a need to stent the ureter of the right kidney\nLaparoscopic tactics were proposed. Complications: postoperative hypoisohydration, temperature and respiratory disturbances, suppuration of the operated space.\n * Recommended: surgery - ureterocolostomy bilateral conduitioplasty. Intraoperatively, the bladder was completely filled with crystalloid solution. The operation was completed by making a laparotomy left-sided lateral incision in the area of ​​the oblique muscles.\nThe surgical wound was washed with a solution of furacillin, D-Tachiin,

A ureteropeloneostomy is a surgical procedure used to create an artificial connection between the bladder and kidneys. It may be performed as an elective procedure or if the patient has kidney stones or a urinary tract infection.

The ureteropeloneostomy shunt is a self-fixing shunt made of a 5F × 6.0Fr synthetic graft (5Fr internal and 6Fr external walls) that is approximately 40-50 cm long. Each end of the shunt is cut into two parts, which are connected to the ureter and kidney using a thread and a stapler. The shunt then passes through the bladder and kidney to the other side.

Advantages of ureteropeluneostomy:

- Reducing pressure in the urinary system. - Improving kidney function. - Can be used as a temporary solution until kidney transplantation.

The operation is performed using laparoscopy, that is, through small incisions in the abdomen. The rehabilitation period takes approximately two weeks, after which the patient can return to normal life.

Contraindications for surgery: