What is a Wallace anastomosis?

What is a Wallace anastomosis?

In the Wallace 1 surgical technique (Fig. 2, part A), described in 1966, both ureters are spatulated to the same length. Their medial walls are anastomosed together and the free edges of the newly conjoined ureters are then anastomosed to the proximal end of an open bowel segment.

What is Wallace method?

The Wallace method of ureteroileal anastomosis (1966) consists of splaying the distal ureters longitudinally. The medial edges are sutured together with a continuous 5-zero chromic catgut suture.

What is Ureteroenteric stricture?

Ureteroenteric anastomotic stricture is a well-known complication of urinary diversion and is associated with serious sequelae that lead to total or partial loss of kidney function, infectious complications, and the need for additional procedures.

How does ileal conduit work?

An ileal conduit is a system of urinary drainage which a surgeon creates using the small intestine after removing the bladder. To do this, the surgeon takes a short segment of the small intestine and places it at an opening he has made on the surface of the abdomen to create a mouth, or stoma.

What is a bladder conduit?

An ileal conduit is a type of surgical procedure that puts in place a system to mimic the work of the bladder. It is the most common form of urinary diversion surgery. A surgeon will remove part of the intestine to create a new pathway for the urine.

What is a urostomy bag?

Urostomy pouches are special bags that are used to collect urine after bladder surgery. Instead of going to your bladder, urine will go outside of your abdomen into the urostomy pouch.

How do you urinate with no bladder?

Your surgeon places the neobladder in the same location inside your body as your original bladder and attaches the neobladder to the ureters so that urine can drain from your kidneys. The other end of the neobladder is attached to your urethra, allowing you to urinate in a relatively normal fashion.

What is a poop bag called?

A colostomy bag is a plastic bag that collects fecal matter from the digestive tract through an opening in the abdominal wall called a stoma.

What is the name of the bag that collects urine?

Urostomy pouches are special bags that are used to collect urine after bladder surgery. Instead of going to your bladder, urine will go outside of your abdomen. The part that sticks outside your abdomen is called the stoma.

What is a bag for urine called?

To use the sharing features on this page, please enable JavaScript. Urostomy pouches are special bags that are used to collect urine after bladder surgery. Instead of going to your bladder, urine will go outside of your abdomen. The part that sticks outside your abdomen is called the stoma.

How long do you live after bladder removal?

Patients in group 1 achieved a progression-free 5-year survival rate of 77% and an overall survival rate of 63% after 5 years. In group 2 patients achieved a progression-free survival rate of 51% after 5 years and an overall survival rate of 50%.

Is Bricker or Wallace ureteroileal anastomosis better for urinary diversion?

Technique selection of bricker or wallace ureteroileal anastomosis in ileal conduit urinary diversion: a strategy based on patient characteristics Our preliminary outcomes demonstrate that this selection strategy of Bricker vs. Wallace anastomosis seems to be clinically reliable, providing an acceptable low ureteral stricture rate of 3.1 %.

What is the prevalence of ureteral stricture after Wallace anastomosis?

Fifty-three patients underwent Bricker anastomosis, and 46 underwent Wallace anastomosis. Ureteral stricture developed in 6 (6.1 %) patients and the overall stricture rate for all ureters was 3.1 % (6/196). Strictures occurred at an average of 13.3 months after surgery and were predominately located in the left ureter (66.7 %, 4/6).

What are the different types of ureteroenteric anastomosis?

The two most common types of ureteroenteric anastomosis during the procedure are the refluxing Bricker and Wallace techniques. The Bricker technique, initially described in the early 1950s, involves spatulating and anastomosing each ureter to the serosa of the bowel segment separately (Fig. 1).

What types of anastomotic techniques are used in ileal conduit (IC) diversion?

Objectives: This study was designed to establish an individualized selection strategy for the two most common types of ureteroenteric anastomotic techniques (Bricker and Wallace anastomosis) used in ileal conduit (IC) diversion.