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At least 613 records · Page 34Linked to original sources

Ureteral reimplantation: postoperative management without catheters.

We reviewed the medical records of 34 consecutive children with reflux who underwent simple ureteroneocystostomy at our institution and an affiliated hospital between 1991 and 1992. Fourteen patients were managed with ureteral and urethral catheters during the initial postoperative period, and 20 patients were managed with a "catheterless" technique employing neither of these devices. The latter group had a 50 percent decrease in length of hospital stay with 20 percent decrease in hospital costs when compared with the former. They also seemed to have less postoperative discomfort as evidenced by a 50 percent decrease in administered pain medicine. Complete follow-up was obtained in all cases, and there were no complications or failures.

Child↗

A vascular tube for intercostal artery reimplantation.

Paraplegia and paraparesis are major concerns in descending and thoracoabdominal aortic repair. A shorter period of spinal cord ischemia is preferred for protection. We have developed a new technique in which plural intercostal arteries are reattached in a short time. The lower descending aorta is tailored using automatic sutures, and a vascular tube is made with diameter about 2.0 cm. Blood supply of intercostal arteries including the Adamkiewicz artery is resumed by perfusing the vascular tube in not more than 20 min. This technique has been applied in four patients, and there was neither paraplegia nor paraparesis.

Aortic Dissection↗