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Ureteric Sigmoidostomy - The Preferred Urinary Diversion
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Background information: Urinary diversion is always a reluctant compromise, since there is not a satisfactory substitute for normally functioning urinary system. The need for adequate method of urinary diversion has long been recognized. Research Question: weather uretero sigmoidostomy is the prefered method for urinary diversion? Material Method: Five adult, healthy dogs of both sexes were studied for the maximum period of 1 1/2 months, in experimental laboratory of, Pt. J.N.M. Medical college, Raipur. Statistical analysis: were applied as and when required. Observations: The operations lasted for three hour and twenty five minutes on an average. The mortality rate was 60 % however 20 % of the dogs died of the effect of anaesthetic drug. 40 % died of chemical peritonitis because of the leakage of urine through anastmotic site. Conclusion: Most time consuming procedure of urinary diversion. 40 % incidence of urinary leak further devalues this procedure in regards to the practical applicability. Though avoidance of external stroma offers a distinct advantage in comparison to other procedures.
Keywords
Anastomosis, Reflux, Leak.
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