METHOD OF SURGICAL MANAGEMENT OF PATIENTS WITH NEUROGENIC DYSFUNCTION OF LOWER URINARY TRACT AND OTHER BLADDER DISEASES

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, specifically to urology. Appendix is cut off with a circular incision with blind-wall wall capture and turned through 180° with an apex to the skin opening. Appendicostomy is placed inside the abdominal cavity. Visceral peritoneum is exposed above a right lateral wall of a bladder. Base of the appendix is anastomosed with a bladder or an intestinal reservoir through a submucosal tunnel on its right upper side wall to form a fistula from a segment of the blind gut on an appendix. Then together with mesentery it is placed into tunnel. Base of the appendix is fixed outside to the bladder or intestinal vessel wall. Bladder or intestinal reservoir is fixed to anterior abdominal wall around stoma. Appendix top is obliquely cut at angle 45°. It is delivered through an opening in the peritoneum and anastomosed with umbilical bluetongue by interrupted sutures.;EFFECT: method provides the reliable formation of a catheterised appendicocystostomy or appendicoreservoirostomy, as well as prevention of dental implantation, which reduces the number of recurrences and improves the quality of life in these patients.;1 cl, 2 dwg, 2 ex