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Article
January 1954

EXPERIMENTAL REPAIR OF URETERS BY POLYETHYLENE TUBING AND URETERAL AND VESSEL GRAFTS

Author Affiliations

KANSAS CITY, KAN.
From the Department of Surgery, University of Kansas Medical Center.

AMA Arch Surg. 1954;68(1):57-61. doi:10.1001/archsurg.1954.01260050059007
Abstract

OCCASIONALLY the surgeon is confronted with the vexing problem of restoring a gap in the ureter. If the defect is extensive, he must be content with a choice of either nephrectomy, cutaneous ureterostomy, uterosigmoidostomy, or ureteroureteral anastomosis.1 A defect of the distal ureter near the bladder can be reconstructed by utilizing a full-thickness flap of bladder wall fashioned into a tube.2

Experimentally, segments of the ureter have been successfully bridged by the substitution of a loop of terminal ileum.3 The transplantation of dog ureters into the duodenum caused death from electrolyte imbalance.4 Vitallium5 and fascial transplants6 have been used as a direct method of reconstructing ureteral defects. Vitallium tubes are reported to be tolerated in the urinary tract of the dog for as long as nine months without causing encrustrations. End-to-end anastomosis of the ureter over a straight Vitallium tube healed per primam in

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