Year : 2012 | Volume
: 28 | Issue : 1 | Page : 28--31
Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children
Rajendra B Nerli, Mallikarjun Reddy, Shishir Devraju, Vikram Prabha, Murigendra B Hiremath, Sujata Jali
Department of Urology, KLE University's J N Medical College and KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum, India
Introduction: The Mitrofanoff principle was originally described as a method to provide an alternative means to access the bladder. It creates a conduit to the bladder through which patients with a sensitive, absent, or traumatized urethra can perform clean intermittent catheterization (CIC) easily. We report our experience with complete laparoscopic Mitrofanoff appendicovesicostomy to promote a catheterizable abdominal stoma.
Materials and Methods: A 4-port transperitoneal approach was used to create a complete laparoscopic Mitrofanoff appendicovesicostomy.
Results: Six children with a mean age of 12.8 years (range 9-16 years) underwent laparoscopic Mitrofanoff appendicovesicostomy. Mean operative time was 139.6 min and Mean estimated blood loss was 46 cc. No cases of urinary leaks were noted. There have been no cases of either stomal stenosis or appendicovesical stenosis noted.
Conclusions: Pure laparoscopic Mitrofanoff appendicovesicostomy is feasible and is associated with reasonable outcome with early recovery, resumption of normal activities and excellent cosmesis.
Rajendra B Nerli
Department of Urology, KLE University«SQ»s J N Medical College and KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum - 590010
|How to cite this article:|
Nerli RB, Reddy M, Devraju S, Prabha V, Hiremath MB, Jali S. Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children.Indian J Urol 2012;28:28-31
|How to cite this URL:|
Nerli RB, Reddy M, Devraju S, Prabha V, Hiremath MB, Jali S. Laparoscopic mitrofanoff appendicovesicostomy: Our experience in children. Indian J Urol [serial online] 2012 [cited 2020 Jan 19 ];28:28-31
Available from: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2012;volume=28;issue=1;spage=28;epage=31;aulast=Nerli;type=0