Monti P R, Lara R C, Dutra M A, de Carvalho J R
Department of Urology, Faculdade de Medicina do Triângulo Mineiro, Uberaba, Brazil.
Urology. 1997 Jan;49(1):112-5. doi: 10.1016/S0090-4295(96)00503-1.
Presently, urinary diversion with continence mechanisms based on the Mitrofanoff principle is frequently used. For its construction, the critical issue is related to the choice of efferent conduit; the most widely used are the appendix and the tapered ileum. Here, we present two alternative techniques for construction of tubes applicable to the same function. Ten dogs underwent operations with two different types of tubes constructed through transversal tubularization of small segments of ileum. These tubes were implanted in the bladder. The dogs were followed up for 30 days, during which all were continent. Their tubes were easily catheterized. The techniques described met the criteria defined for an efferent tube to be used according to the Mitrofanoff principle.
目前，基于米氏原理构建有控尿机制的尿流改道术被频繁使用。对于其构建，关键问题在于传出管道的选择；使用最广泛的是阑尾和锥形回肠。在此，我们介绍两种适用于相同功能的管道构建替代技术。十只狗接受了手术，通过回肠小段的横向管状化构建了两种不同类型的管道。这些管道被植入膀胱。对狗进行了30天的随访，在此期间所有狗都能自主控尿。它们的管道易于插管。所描述的技术符合根据米氏原理使用的传出管道所定义的标准。
