Операція Митрофанова в практиці дитячого уролога

Дігтяр, В.А. and Харитонюк, Л.М. and Бойко, М.В. and Островська, О.А. and Обертинський, А.В. and Вернігора, Д.Г. (2020) Операція Митрофанова в практиці дитячого уролога. Urologiya = Урологія, Т. 24 (№ 4). pp. 354-358. ISSN 2307-5279 (print), 2709-5576 (online)

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Abstract

Introduction. Management of neurogenic bladder is quite serious problem in child urologist practice. The key place for improvement quality of life is choice adequate way to restore the reservoir and evacuation function of the bladder. Treatment tactics of urinary incontinence is significantly changed by princi ple of Mitroffanof. Positive results are observed in 90% cases. Objective: Improving the tactics of treatment at children with severe urological pathology and show the benefits of the Mitroffanof princi ple. Materials and methods: We made retrospective analyze of six cases procedure Mitroffanof in our clinic from 2010 to 2020 years. Mitroffanof’s procedure was performed on patients with the following pathologies: neurogenic bladder dysfunction, bladder exstrophy, total epispadias of the penis with bladder neck insufficiency and in one case multi ple genius defects with anorectal malformation. Results: Àppendix was the source of conduit in all cases. Appendix entered to belly button in one case and in other cases appendix entered to right iliac region. The cosmetic result was better in the stoma brought to the navel. Bladder part of stoma implanted with anti - reflux mechanism in posterior wall of bladder in all cases. The cutaneous part of the appendicostomy is formed by VQ - flap plastics in 5 cases, in one case formed by U- plastic. We had two complications. First is stenosis of cutaneous part of stoma, second was formed of erroneous pass in cutaneous part of stoma. Conclusions: Mitroffanof princi ple becomes a good alternative way of derivation urine from bladder in patients with heavy urological pathology and improve their quality of life. Although complications are quite common in patients with appendicostomy, most of them can be corrected conservatively, endoscopically or surgically.

Item Type:	Article
Additional Information:	DOI: 10.26641/2307-5279.24.4.2020.224416
Uncontrolled Keywords:	Mitrofanov’s princi ple, neurogenic disorders of the bladder, incontinence, children, social adaptation.
Subjects:	Urology Pediatric surgery
Divisions:	Departments > Department of Pediatric surgery, Traumatology and Orthopedics
Depositing User:	Елена Шрамко
Date Deposited:	31 May 2021 21:14
Last Modified:	31 May 2021 21:14
URI:	http://repo.dma.dp.ua/id/eprint/6588

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