Fig. 38.1
CT scan of a sacral agencies patient with ileal conduit (neurogenic bladder with renal failure who improved in 3 years after diversion)

Fig. 38.2
Ports position and stoma location

Fig. 38.3
Initial view of bowel adhesions

Fig. 38.4
Bowel adhesions being released

Fig. 38.5
Bowel adhesions being released

Fig. 38.6
Conduit as seen after release of bowel adhesions

Fig. 38.7
Conduit being mobilised

Fig. 38.8
Conduit dissected all around near the abdominal wall

Fig. 38.9
Bladder being dropped down

Fig. 38.10
Bladder completely mobilised down

Fig. 38.11
Stoma dissected from abdominal wall and conduit about to be internalised

Fig. 38.12
Stoma separated from abdominal wall, closed and pushed into peritoneal cavity

Fig. 38.13
Internalised conduit being detubularised