February 1962

Operative Mortality After Ureteroileal Diversion

Author Affiliations

From the Department of Urology, New York University Medical Center, and the Fourth Urological Service, Bellevue Hospital.

Arch Surg. 1962;84(2):265-268. doi:10.1001/archsurg.1962.01300200113010

Since the introduction by Bricker1 of the use of isolated ileal segments as conduits for the diversion of the urinary stream, collective reviews of group and personal experiences with the procedure have been published. In 1956, Wells,2 Annis,3 and Pyrah4 individually reviewed their experiences in successive papers appearing in the British Journal of Urology. Bricker5 published a short reappraisal in 1957. More recently, Stamey and Scott,6 Parkhurst and Leadbetter,7 Cordonnier and Nicolai,8 and Burnham and Farrer9 reviewed their experiences. These papers are collective reviews dealing with indications, techniques, complications, survival rates, changes in the upper urinary tract, and electrolyte absorption in a diverse group of patients. Operative mortality rates have varied markedly in these studies. The English workers' mortality rate approximates 25% with "ileus and burst abdomen," as defined by Pyrah, the most common cause of death. Parkhurst and Leadbetter reported

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