Fig. 36.1
Cystogram showing small capacity bladder in a Meningomyelocoele patient
Fig. 36.2
Cystometry showing grossly unstable bladder
Fig. 36.3
Ports position
Fig. 36.4
Initial view of bladder
Fig. 36.5
Ileal loop freely moving into the pelvis is selected for bowel segment isolation
Fig. 36.6
Vascular arcade visualised using another telescope (through LIF port)
Fig. 36.7
Margins of bowel segment to be isolated are marked with vicryl sutures
Fig. 36.8
Proximal margin is also marked
Fig. 36.9
Bladder being mobilised for cystotomy
Fig. 36.10
Cystotomy done in inverted U shape from anterior wall of bladder
Fig. 36.11
Trigone and ureteric orifices seen through cystotomy
Fig. 36.12
Cystotomy completed safeguading ureteric Orifices
Fig. 36.13
Proximal margin division using stapler
Fig. 36.14
Distal margin division using stapler
Fig. 36.15
Mesenteric bleeders if any, handled with vessel sealer
Fig. 36.16
Proximal and distal ileal divided segments tacked together to facilitate bowel anastomosis
