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Gupta, K. M.
- Ureteric Sigmoidostomy - The Preferred Urinary Diversion
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Authors
Affiliations
1 Dept. of Surgery, Govt. Medical College, Jagdalpur ( Bastar ) - 494001, IN
2 Dept. of Radiodiagnosis, Govt. Medical College, Jagdalpur ( Bastar ) - 494001, IN
3 Dept. of Community Medicine, Govt. Medical College, Jagdalpur ( Bastar ) - 494001, IN
4 Dept. of Medicine, Govt. Medical College, Jagdalpur ( Bastar ) - 494001, IN
1 Dept. of Surgery, Govt. Medical College, Jagdalpur ( Bastar ) - 494001, IN
2 Dept. of Radiodiagnosis, Govt. Medical College, Jagdalpur ( Bastar ) - 494001, IN
3 Dept. of Community Medicine, Govt. Medical College, Jagdalpur ( Bastar ) - 494001, IN
4 Dept. of Medicine, Govt. Medical College, Jagdalpur ( Bastar ) - 494001, IN
Source
Research Journal of Pharmacology and Pharmacodynamics, Vol 3, No 5 (2011), Pagination: 285-288Abstract
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.
References
- Garg Narendra K. Evaluation of the impact of emesis and emesis plus purgation therapy; Research J. Pharmacology and Pharmacodynamics: 2 (2) March - April 2010; 201-202.
- Coffey, R.C. (1921) Transplantation of Ureters in to large intestine in the absence of a functioning urinary bladder. J.Urol.101: 168.
- Cordonnier, J. J. (1968) Ileaal conduit in children. Urol. Int. 23; 82.
- Harbach, L.B. (1970) Experiments in Ureterosigmoidostomy Transureteroreterostomy combined with ureterosigmoidostomy to allow a single ureteocolic anastomosis. J.Urol. 104:395.
- Leadbetter,W.F. and Clarke,B.C. (1955) Five year experience with ureteroenterostomy by combined technique. J. Urol. 73:47.
- Leadbetter Jr. C.W. (1975) Skin ureterostomy with ureteral reconstruction. J.Urol. 107: 462.
- Lovegrove, Robert,and Stone T.E. (1967) Fate of sigmoid myotomy in ureterosigmoid anastomosis. J. Urol. 98:184.
- Nesbit (1960) Another hopeful look at ureter sigmoid anastomosis .J. Urol. 84:691.
- Peter, T. Nieh and Aley, Faltuausen (1978) Stage ureteocolostomy urinary diversion.
- Simon, J. (1852) Cited from J. Urol. 101:168.
- Bansal A.K. and Chandorkar R.K. (1993) knowledge, Belief and Practice: A study of Tribal mothers about feeding of infants; Tribal Health Bulletin (ICMR); Vol. - 2, No. - 3 & 4: 1-2.
- Bansal A.K. and Chandorkar R.K. (1993) effectiveness of ICDS in child care in Rural and Tribal areas of Chhattisgarh (M.P.) J. Ravi Shankar uni; Vol. - 6, No.-B (Science) 61-65.
- Bansal A.K. and Saxena V.B. (2000) impact of I.C.D.S. on Pregnancy pattern of Tribal and Non Tribal women. J. Ravi Shankar Uni; Vol. - 13, No.-B (Science) 54-58.
- Bansal A.K. and Chandorkar R.K. (1993) utilization of Health Care delivery by Tribal and Non Tribal women of an ICDS block (1993) J. Ravi Shankar Uni; Vol.-6, No.-B (Science) 57-60.
- Bansal A.K., Agarwal Ashok K. and Govila A.K. (1998-99) Status of girl child amongst Tribal and Non Tribal in the unreached rural India; J. Ravi Shankar uni; Vol. - 11-12, No.-B (Science) 31-36.
- Bansal A.K. and Agarwal A.K. (1994) impact of training the knowledge of Tribal and Non Tribal Anganwade workers; J. Ravi Shankar uni; Vol. - 7, No.-B (Science) 51-54.
- Bansal A.K. and Chandorkar R.K. (1997) Immunization status of Tribal and Non Tribal Children of Raipur district, Madhya Pradesh; Tribal Health Bulletin (ICMR) Vol. - 3, No.-2; 12-14.
- Bansal A.K. and Chandorkar R.K. Impact of I.C.D.S. on morbidity due to Nutritional deficiency Diseases amongst Tribe and Non Tribe Children; Research J Science and Tech.; 2009: 1(2); 82-84.
- Impact of Bilaterel Cutaneous Ureterostomy as a Urinary Diversion
Abstract Views :297 |
PDF Views:0
Authors
Affiliations
1 Dept. of Surgery, Govt. Medical College, Jagdalpur (BASTAR) – 494001, IN
2 Dept. of Medicine, Govt. Medical College, Jagdalpur (BASTAR) – 494001, IN
3 Govt. Medical College, Jagdalpur (BASTAR) – 494001, IN
4 Dept. of Community Medicine, Govt. Medical College, Jagdalpur (BASTAR) – 494001, IN
1 Dept. of Surgery, Govt. Medical College, Jagdalpur (BASTAR) – 494001, IN
2 Dept. of Medicine, Govt. Medical College, Jagdalpur (BASTAR) – 494001, IN
3 Govt. Medical College, Jagdalpur (BASTAR) – 494001, IN
4 Dept. of Community Medicine, Govt. Medical College, Jagdalpur (BASTAR) – 494001, IN
Source
Research Journal of Pharmacology and Pharmacodynamics, Vol 3, No 4 (2011), Pagination: 176-179Abstract
Objectives: To assess the efficacy of Cutaneous Ureterostomy as an urinary diversion? Material and Method: Five adult healthy dogs of both sexes ranging in weight from 10 to 16 Kg. were included and the study was conducted in Deptt. of Surgery, Pt. J. N. M. Medical college, Raipur. Results: On an average operation required 1 hour 46 minutes for completion of procedure. The mortality rate was 40 percent, however it carries the highest incidence (100 percent) of cutaneous ulcer around the stoma. The incidence of stomal stenosis in this method was (60%). Incidence of ascending urinary tract infection was (40%). Interpretation: Cutaneous Ureterostomy is an easy, simple and quick method is usually associatsd with ascending infectionand stenosis of ureterocutaneous stoma.Keywords
Stomal Stenosis, Cutaneous Ulceration.References
- Garg Narendra K. Evaluation of the impact of emesis and emesis plus purgation therapy; Research J. Pharmacology and Pharmacodynamics: 2 (2) March - April 2010; 201-202.
- Feminella, J.G. & Lattimer, J.K. 1971 A retrospective analysis of 70 cases of cutaneous ureterostomy. J. Urol. 106; 538.
- Change, C.Y. and Lapides, J. 1975 Cutaneous everted nipple ureterostomy. Exc. Med. Urol. Nephro. 7; 271.
- Mohoney, E.M. 1977 An improved nonintubated cutaneous ureteostomy technique for the normal and dilated ureter. J. Urol. 117; 279.
- Spence, B. and Esho, J. 1973 Bacteriuria in intestinal eonduit urinary diversion in dogs. Exc. Med. Urol. Nephro. 7; 478.
- Bellis, C.J. 1966 Isolated ileal segment as urine conduct after extenteration for pelvic cancer. Further experiences with improved technique. Mer. J. Surg.111:691.
- Bansal A.K. and Chandorkar R.K. (1993) knowledge, Belief and Practice: A study of Tribal mothers about feeding of infants; Tribal Health Bulletine (ICMR); Vol. - 2, No. - 3 & 4:1-2.
- Bansal A.K. and Chandorkar R.K. (1993) effectiveness of ICDS in child care in Rural and Tribal areas of Chhattisgarh (M.P.) J. Ravi Shankar uni; Vol. - 6, No.-B (Science) 61-65.
- Bansal A.K. and Saxena V.B.(2000) impact of I.C.D.S. on Pregnancy pattern of Tribal and Non Tribal women. J. Ravi Shankar uni; Vol. - 13, No.-B (Science) 54-58.
- Bansal A.K. and Chandorkar R.K. (1993) utilization of Health Care delivery by Tribal and Non Tribal women of an ICDS block (1993) J. Ravi Shankar uni; Vol.-6, No.-B (Science) 57-60.
- Bansal A.K., Agarwal Ashok K. and Govila A.K. (1998-99) Status of girl child amongst Tribal and Non Tribal in the unreached rural India; J. Ravi Shankar uni; Vol. - 11-12, No.-B (Science) 31-36.
- Bansal A.K. and Agarwal A.K. (1994) impact of training the knowledge of Tribal and Non Tribal Anganwade workers; J. Ravi Shankar uni; Vol. - 7, No.-B (Science) 51-54.
- Bansal A.K. and Chandorkar R.K. (1997) Immunization status of Tribal and Non Tribal Children of Raipur district, Madhya Pradesh; Tribal Health Bulletin (ICMR) Vol. - 3, No.-2; 12-14.
- Bansal A.K. and Chandorkar R.K. Impact of I.C.D.S. on morbidity due to Nutritional deficiency Diseases amongst Tribe and Non Tribe Children; Research J Science and Tech.; 2009: 1(2); 82-84.
- Facts After Transuretero-Ureterostomy
Abstract Views :213 |
PDF Views:0
Authors
Affiliations
1 Dept. of Surgery, Govt. Medical College, Jagdalpur (Bastar) – 494001., IN
2 Medicine, Govt. Medical College, Jagdalpur (Bastar) – 494001, IN
3 Govt. Medical College, Jagdalpur (Bastar) – 494001, IN
1 Dept. of Surgery, Govt. Medical College, Jagdalpur (Bastar) – 494001., IN
2 Medicine, Govt. Medical College, Jagdalpur (Bastar) – 494001, IN
3 Govt. Medical College, Jagdalpur (Bastar) – 494001, IN
Source
Research Journal of Science and Technology, Vol 4, No 6 (2012), Pagination: 274-277Abstract
Back ground: Urinary diversion is made necessary for variety of conditions when it is no longer desirable to use the bladder as receptacle of urine.
Objectives: To know the facts about Transuretero - ureterostomy?
Material and Method: The study was carried out in Dept. of Surgery, Pt. Jawahar Lal Nehru Memorial Medical College, Raipur on five dogs of both sexes. All the dogs were healthy and carried weight ranging from 10 Kg. to 16 Kg.
Results and Inferences: Transsuretero-Ureterostomy, the procedure though technically a bit hazardous takes on an average 1 hour 45 mts. for its completion. 60 percent of the dogs of this group died during the period of observation. On autopsy anastomotic leak and urinary infection were the cause of death.
Keywords
Transureteroureterostomy, Urinary Diversion.- Usefull Application of Cutaneous Uretero-Ileostomy
Abstract Views :264 |
PDF Views:0
Authors
Affiliations
1 Dept. of Surgery, Govt. Medical College, Jagdalpur (Bastar) – 494001, IN
2 Govt. Medical College, Jagdalpur (Bastar)- 494001, IN
1 Dept. of Surgery, Govt. Medical College, Jagdalpur (Bastar) – 494001, IN
2 Govt. Medical College, Jagdalpur (Bastar)- 494001, IN
Source
Research Journal of Science and Technology, Vol 3, No 3 (2011), Pagination: 169-172Abstract
Research question: Cutaneous uretero-ileostomy is useful as an urinary diversion?
Material and Method: Experiment was carried out on five adult healthy dogs weighing ten to sixteen Kgs. of weight in the department of Surgery, Pt. JNM Medical College, Raipur.
Statistical Analysis: Proportion etc. were applied as and when required.
Observations: Cutaneous ureterostomy the operative procedure on an average lasted for 3 hours 6 minutes, 80 percent dogs developed cutaneous ulcers all around the ileostomy stoma. 40 percent dogs died in the period of observation. On autopsy one dog died of intestinal anastomotic leak while one dog died of urteroileal leak. In rest of the 3 dogs the diversion was found to be working efficiently.
Conclusion: Cutaneous uretero-ileostomy is the most suitable and physiologically exceptable method of diversion, However cutaneous ulcers around stoma and intestinal anastomotic leak has considerably masked the merits of this method. It carries the least incidence of urinary leakage, stomal stenosis and ascending urinary tract infection.