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Indiana pouch

Josemberg Marins Campos, Flávio Coelho Ferreira, André F Teixeira, Jones Silva Lima, Rena C Moon, Marco Aurélio D'Assunção, Manoel Galvão Neto
BACKGROUND: Chronic leaks after laparoscopic sleeve gastrectomy (LSG) are often difficult to treat by endoscopy metallic stent. Septotomy has been indicated as an effective procedure, but the technical aspects have not been detailed in previous publications (Campos JM, Siqueira LT, Ferraz AA, et al., J Am Coll Surg 204(4):711, 2007; Baretta G, Campos J, Correia S, et al., Surg Endosc 29(7):1714-20, 2015; Campos JM, Pereira EF, Evangelista LF, et al., Obes Surg 21(10):1520-9, 2011). We herein present a video (6 min) demonstrating the maneuver principles of this technique, showing it as a safe and feasible approach...
August 2016: Obesity Surgery
Jeremy B Myers, Sara M Lenherr
PURPOSE OF REVIEW: This article summarizes recent evidence describing perioperative and long-term surgical complications of the Indiana pouch and similar continent catheterizable urinary diversions. RECENT FINDINGS: The perioperative morbidity and long-term complications are better defined in recent literature describing the Indiana and similar pouches. Both perioperative and long-term surgical complications for the Indiana and similar pouches are extremely variable between studies, but ranges between 1-32% and 6-69%, respectively...
July 2016: Current Opinion in Urology
(no author information available yet)
No abstract text is available yet for this article.
April 2016: Oncology (Williston Park, NY)
Madeleine G Manka, Carlos Santoni, E James Wright, Susan L Gearhart
An increased risk of neoplasm has been noted when bowel segments are used for urinary diversion. Particularly true for ureterosigmoidostomy, colonic adenocarcinoma has rarely been reported following Indiana Pouch diversion. This report describes a 42-year-old woman with a history of bladder exstrophy who developed a polyp in her Indiana Pouch 24 years after its creation. The polyp, found incidentally, was a tubular adenoma with high-grade dysplasia. Due to its malignant potential, the polyp was resected with preservation of the Indiana Pouch...
September 2015: Urology Case Reports
Valary T Raup, Jairam R Eswara, Stephen D Marshall, Steven B Brandes
INTRODUCTION: Continent catheterizable diversions can exhibit long-term complications such as high pressures and involuntary unit contractions within the urinary reservoir, rendering them similar to neurogenic bladders. Given the similarity of these issues to neurogenic detrusor overactivity, the use of Botox injections is a logical treatment option to explore. TECHNICAL CONSIDERATIONS: A patient with a contracted Indiana pouch continent catheterizable diversion was treated with intra-pouch Botox injections after failing maximal doses of oral anticholinergic medications...
February 2016: Urology
Kristina Wittig, Nora Ruel, John Barlog, Laura Crocitto, Kevin Chan, Clayton Lau, Timothy Wilson, Bertram Yuh
OBJECTIVE: To examine the occurrence and cost burden of hospital readmission within 90 days of robot-assisted radical cystectomy (RARC). Subjects/Patients (or Materials) and Methods: From 2003 to 2012, 247 patients underwent RARC with extracorporeal urinary reconstruction at a single categorical cancer hospital. Continent diversions were performed in 67% of patients. All readmissions within 90 days were included. Readmissions were defined as early (<30 days) and late (31-90 days) with multiple readmissions captured as separate events...
January 2016: Journal of Endourology
Hiroaki Ishida, Jun-Ichi Teranishi, Yusuke Hattori, Takahiro Hanai, Mitsuyuki Koizumi, Kazumi Noguchi
Kidney transplantation with an Indiana pouch is very rare, and a case report about it has not been found. This is our report about a successful case of kidney transplantation in a patient with an Indiana pouch. A 32 year-old woman with end stage renal failure was referred to our hospital for living related kidney transplantation. She had undergone an Indiana pouch diversion, due to a neurogenic bladder with spina bifida and renal dysfunction, 11 years ago. However, her kidney function gradually deteriorated, and finally she was started on hemodialysis six months ago...
January 2015: Nihon Hinyōkika Gakkai Zasshi. the Japanese Journal of Urology
Andrew P Hawkins, Jonathan C Sum, Daniel Kirages, Erica Sigman, Soma Sahai-Srivastava
STUDY DESIGN: Resident's case problem. BACKGROUND: Groin pain represents a diagnostic challenge and requires a diagnostic process that rules out life-threatening illness or disease processes. Osteomyelitis is a potential fatal disease process that requires accurate diagnosis and medical management. Osteomyelitis presents a problem for the outpatient physical therapist, as the described physical findings for the diagnosis of osteomyelitis are nonspecific. DIAGNOSIS: A 67-year-old man with groin and bilateral medial thigh pain was referred for physical therapy care to address right adductor weakness and generalized deconditioning...
April 2015: Journal of Orthopaedic and Sports Physical Therapy
Alvin C Goh, Monty A Aghazadeh, Ross E Krasnow, Alexander W Pastuszak, Julie N Stewart, Brian J Miles
The purpose is to present the first report and describe our novel technique for intracorporeal continent cutaneous diversion after robotic cystectomy. After completion of robot-assisted cystectomy using a standard six-port transperitoneal technique, three additional ports are placed, and the robot is redocked laterally over the patient's right side in the modified lateral position. Our technique replicates step-by-step the principles of the open approach. Ileocolonic anastomosis, ureteroenteral anastomoses, and construction of a hand-sewn right colonic pouch are all performed intracorporeally...
November 2015: Journal of Endourology
Scott Tobis, Jonathan E Heinlen, Nora Ruel, Clayton Lau, Mark Kawachi, Timothy Wilson, Kevin Chan
INTRODUCTION: Alvimopan has been shown to improve time to return of bowel function in patients undergoing bowel resection. The objective of this study is to determine if alvimopan has similar benefits for patients undergoing robot-assisted radical cystectomy (RARC). MATERIALS AND METHODS: All RARC cases were reviewed from January 2008 to March 2012. All patients during this time were administered alvimopan unless they had been receiving narcotics preoperatively...
October 2014: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Bashir Al Hussein Al Awamlh, Lily C Wang, Daniel P Nguyen, Malte Rieken, Richard K Lee, Daniel J Lee, Thomas Flynn, James Chrystal, Shahrokh F Shariat, Douglas S Scherr
OBJECTIVE: To evaluate functional outcomes of continent cutaneous urinary diversion (CCUD) after radical cystectomy (RC) and to compare diversion-related complications and long-term renal function in a contemporary cohort of patients undergoing urinary diversion with CCUD, orthotopic bladder substitute (OBS) and ileal conduit (IC). PATIENTS AND METHODS: In all, 322 patients underwent RC and CCUD, OBS or IC from January 2002 to June 2013. CCUD was performed using either a modified Indiana pouch or an appendiceal stoma...
November 2015: BJU International
Sujit K Chowdhary, Katargadda L N Rao, Deepak K Kandpal, Anupam Sibal, Rajendra N Srivastava
OBJECTIVE: We report our experience with the Indiana pouch (continent urinary reservoir) in 12 consecutive children over the last 15 years and report their follow-up. MATERIAL AND METHODS: Twelve consecutive children, who underwent the continent urinary reservoir procedure in the form of an Indiana pouch, were prospectively enrolled in the study. All consecutive children who were referred to our service with multiple failed surgeries for exstrophy-epispadias repair, cloacal exstrophy, genitourinary rhabdomyosarcoma with residual disease in the trigonal area not amenable to partial cystectomy, and neuropathic bladder with nephrogenic metaplasia were included over the period 1997-2012...
October 2014: Journal of Pediatric Urology
M Francesca Monn, Hristos Z Kaimakliotis, K Clint Cary, Jose A Pedrosa, Chandra K Flack, Michael O Koch, Richard Bihrle
PURPOSE: Literature surrounding Indiana pouch (IP) urinary diversion suggests a higher incidence of complications and longer operative time compared with ileal conduit (IC) and neobladder (NB). We sought to assess short-term complications of IP diversions compared with other diversions at our institution. MATERIALS AND METHODS: Using institutional National Surgical Quality Improvement Program data, we identified radical cystectomy cases performed for bladder cancer at Indiana University from January 2011 until June 2013...
November 2014: Urologic Oncology
O A Castillo, G Aranguren, F Campos-Juanatey
INTRODUCTION: Radical pelvic surgery requires continent or incontinent urinary diversion. There are many techniques, but the orthotopic neobladder is the most used. A continent catheterizable urinary reservoir is sometimes a good alternative when this derivation is not possible or not indicated. This paper has aimed to present our experience with the Indiana pouch continent urinary reservoir. MATERIAL AND METHODS: The series is made up of 85 patients, 66 women and 19 men, with a mean age of 56 years (31-77 years)...
July 2014: Actas Urologicas Españolas
John Kinahan, Howard Pai, Mildred Martens, Jason Gray, Darren Biberdorf, Alex Mihailovic, Iain McAuley
Radiation therapy is a well-recognized treatment for unfavourable risk localized prostate cancer. Radiation induced recto-urethral fistulae are known rare complications particularly from brachytherapy. We report a case of a recto-urethral fistula 7 years post-external beam radiation and I-125 brachytherapy, which was complicated by a severe polymicrobial soft tissue infection. This infection required penectomy and pelvic exenteration with diverting colostomy, Indiana pouch urinary diversion and gracilis myo-cutaneuos flap closure of the perineum...
January 2014: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Michael Nazmy, Bertram Yuh, Mark Kawachi, Clayton S Lau, Jennifer Linehan, Nora H Ruel, Robert R Torrey, Jonathan Yamzon, Timothy G Wilson, Kevin G Chan
PURPOSE: Minimally invasive surgical treatment for bladder cancer has gained popularity but standardized data on complications are lacking. Urinary diversion type contributes to complications and to our knowledge diversion types after minimally invasive cystectomy have not yet been compared. We evaluated perioperative complications stratified by urinary diversion type in patients treated with robot-assisted radical cystectomy. MATERIALS AND METHODS: We analyzed the records of 209 consecutive patients who underwent robot-assisted radical cystectomy at our institution from 2003 to 2012 with respect to perioperative complications, including severity, time period (early and late) and diversion type...
March 2014: Journal of Urology
Nakhle Saba, Jowana Saba, Maissaa Janbain, Carole Bitar, Andrew Lipsky, Marcelo Blaya
No abstract text is available yet for this article.
December 2013: Clinical Genitourinary Cancer
Yoshiko Sugita, Wataru Ishikawa, Shoji Hirai, Norio Maru, Atsushi Sugita, Morihiro Nishi, Tetsuo Fujita, Kazunari Yoshida, Masatsugu Iwamura
We present a rare case of colonic adenocarcinoma occurring in an Indiana pouch. A 68-year-old man underwent radical cystectomy with Indiana pouch urinary diversion for the treatment of bladder cancer 16 years ago. He was referred to our hospital for the treatment of a right staghorn stone, left renal stone, and pouch stones. Cystoscopic findings showed a 10×10 mm tumor distal to ureter anastomosis. Under the diagnosis of colonic adenocarcinoma in an Indiana pouch, tumor and stones were successfully removed...
August 2013: Hinyokika Kiyo. Acta Urologica Japonica
Konrad M Szymanski, Christian H Tabib, Muhammad T Idrees, Mark P Cain
Pediatric extrarenal malignant rhabdoid tumors (MRTs) are rare and aggressive (20% 5-year survival). Only 2 cases of bladder MRTs have been published. We report on a 9-year-old boy presenting with gross hematuria, palpable pelvic mass, and an obstructed, nonfunctional kidney. Evaluation was consistent with a 9.7 cm extrarenal MRT invading the bladder and prostate. He underwent a cystoprostatectomy, Indiana pouch continent urinary reservoir creation, and a left nephroureterectomy. A discrete 2.5 cm focus of renal MRT was found...
November 2013: Urology
I Fakhr, A-M Mohamed, A Moustafa, M Al-Sherbiny, M Salama
UNLABELLED: One of the commonest forms of orthotopic bladder substitution for bladder cancer survivors, used in our institute, is the use of ileocecal segment. Sometimes, the need for Indiana pouch heterotropic continent diversion arises. AIM: To compare the long-term effect of orthotopic ileocecal bladder and heterotropic Indiana pouch following radical cystectomy in bladder cancer patients. PATIENTS AND METHODS: Between January 2008 and December 2011, 91 patients underwent radical cystectomy/anterior pelvic exentration and orthotopic ileocecal bladder reconstruction (61 patients) and Indiana pouch (30 patients), when orthotopic diversion could not be technically or oncologically feasible...
March 2013: Journal of the Egyptian National Cancer Institute
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