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Case Reports
. 2017 Jun 30;70(2):188-191.
doi: 10.5173/ceju.2017.927. Epub 2017 Mar 15.

Extended Boari-flap technique as a reconstruction method of total ureteric avulsion

Paweł Grzegółkowski  1 , Artur Lemiński  1 , Marcin Słojewski  1
Affiliations
Case Reports

Extended Boari-flap technique as a reconstruction method of total ureteric avulsion

Paweł Grzegółkowski et al. Cent European J Urol. .

Abstract

Indication has led ureteroscopy to be a worldwide technique, with the expected appearance of multiple complications. The ureteral avulsion is an uncommon severe urological complication of ureteroscopy (URS). Surgery in patients with a total ureteral loss is a demanding challenge for urologist. It requires usually immediate open or laparoscopic intervention. This case report was to present the treatment modality after ureteral avulsion. We have presented a case of 58-year-old male patient who underwent a successful repair of an upper ureteral injury. We have comprehensively described the effectiveness of an extended Boari-flap procedure for reconstruction after iatrogenic ureteral trauma. Particularly in an unexpected and casual situations, the presented extended Boari flap modification can be a great alternative for reconstructing a total ureteral loss. In conclusion we have recommend useful tips, how to counteract such unwanted events.

Keywords: intraoperative complications; ureteral calculi; ureteroscopy.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
An intravenous urography showing a calculus in the upper left ureter (17x9 mm).
Figure 2
Figure 2
Intraoperative view of an extended Boari flap procedure.
Figure 3
Figure 3
A postoperative CT scan (delayed phase).
Figure 4
Figure 4
A postoperative intravenous urography scan.
See this image and copyright information in PMC

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