Robotic Ureteric Reimplantation



Fig. 19.1
Patient and ports position



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Fig. 19.2
Robot position between the thighs


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Fig. 19.3
Peritoneotomy done and ureter dissection started


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Fig. 19.4
Left Ureter dissection in progress


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Fig. 19.5
Ureter looped


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Fig. 19.6
Ureteric obstruction seen at the level of pelvic brim


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Fig. 19.7
Obstructed area of ureter being dissected


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Fig. 19.8
Ureter divided proximal to obstruction


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Fig. 19.9
Retzius space being developed


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Fig. 19.10
Bladder complelely dropped down


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Fig. 19.11
Ureter spatulated


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Fig. 19.12
Perivesical fat excised at the site of reimplantation


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Fig. 19.13
Vesicotomy for reimplantation


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Fig. 19.14
Reimplantation started with initial bite through the spatulated end of ureter


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Fig. 19.15
Corresponding suture through bladder


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Fig. 19.16
Continuous suturing with 4-0 Monocryl in progress


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Fig. 19.17
Medial layer suturing in progress


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Fig. 19.18
Medial layer completed


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Fig. 19.19
Stent being inserted retrograde


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Fig. 19.20
Lateral layer suturing started


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Fig. 19.21
Lateral layer suturing in progress


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Fig. 19.22
Sutures completed

Oct 14, 2017 | Posted by in UROLOGY | Comments Off on Robotic Ureteric Reimplantation

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