Simplified Orthotopic Ileocecal Pouch (Mainz Pouch) for Bladder Substitution
M. El-Mekresh, L. Franzaring, M. Wöhr, S. W. Melchior, M. Hohenfellner, J. W. Thüroff · Aktuelle Urologie · 2003 · Heft 04 · S. 226-230
Bibliografische Angaben
Zusammenfassung
Abstract OBJECTIVE: To report operative modifications that render construction of the orthotopic Mainz pouch more simple, namely formation of the pouch using absorbable staples and utilization of the ileocecal valve as an antireflux mechanism. PATIENTS AND METHODS: Between January 2001 and May 2002 out of 92 cystectomy cases, 21 patients (20 males and 1 female) underwent a simplified orthotopic Mainz pouch. The ureters were implanted via Wallace or Nesbit technique in the supravalvular portion of the ileocecal valve. The mean (range) age was 58 (43 - 74) years and the mean follow-up is 11.6 months (range 1 - 27)…
