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