Revista chilena de cirugía
On-line version ISSN 0718-4026
CASTILLO C, Octavio A et al. Bilateral ileal ureteral replacement. Rev Chil Cir [online]. 2012, vol.64, n.5, pp.476-479. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262012000500012.
Introduction: Ureteral replacement by a loop of defunctionalized ileum was described more than 2 centuries ago and continues to be a therapeutic option at present. This series describes the technique of bilateral ureteral replacement with ileum. Aim: To report 4 cases of bilateral ileal ureteral replacement performed at our institution, its indications, the surgical technique, complications, and a review of the literature. Material and Method: We report 4 cases of extensive bilateral ureteral injury of different etiologies, whose treatment with curative intent was to replace the damaged ureter with a isoperistaltic small bowel segment. Results: The surgical technique used was standard in all cases. There were no intraoperative complications and only one patient had hyperchloremic acidosis. No patient has shown loss of renal function in the long-term follow up. Conclusion: Is an effective therapeutic, safe and reproducible technique to replacement of major bilateral ureteral injuries, independent of the original cause.
Keywords : Ureter ileal; ureteral replacement; ureter injury; actinic injury.