Fig. 51.1
Standard port placement
Fig. 51.2
Standard port placement
Fig. 51.3
Dissection at the level of aortic bifurcation facilitating tunneling of left ureter
Fig. 51.4
Left ureter prepared for tunneling beneath the sigmoid
Fig. 51.5
Left ureter tunneled beneath the sigmoid
Fig. 51.6
Right ureter mobilized and both ureters tacked to the anterior abdominal wall
Fig. 51.7
Ileal loop moving to the pelvis without tension, with a long mesentery, minimum 30 cm from ileocecal junction was selected
Fig. 51.8
Multiple transverse release incisions made in the mesentery to facilitate mobilisation of the bowel segment to pelvis
Fig. 51.9
Vessel loop passed through the mesentery at the ends of the bowel loop segment selected for urethral anastomosis
Fig. 51.10
Initial part of posterior reconstruction performed by suturing the cut end of denonvillier’s fascia to the peritoneum with 3-0 quilted sutures
Fig. 51.11
Posterior plate reconstruction in progress
Fig. 51.12
Posterior plate sutures continued from the denonvillier’s fascia to the antimesenteric border of selected ileal loop
Fig. 51.13
Posterior plate reconstruction completed
Fig. 51.14
Ileum opened for urethral anastomosis
Fig. 51.15
Urethro vesical anastomosis started with 3-0 barbed suture
Fig. 51.16
Corresponding suture through urethra
Fig. 51.17
Urethro vesical anastomosis in continuous manner
