An alternative channel for the Mitrofanoff principle based on transverse skin flaps: An extraperitoneal minimal invasive approach (the RPM technique)

dc.contributor.authorMacedo, Antonio [UNIFESP]
dc.contributor.authorRondon, Atila [UNIFESP]
dc.contributor.authorBacelar, Herick [UNIFESP]
dc.contributor.authorLeslie, Bruno [UNIFESP]
dc.contributor.authorOttoni, Sergio [UNIFESP]
dc.contributor.authorLiguori, Riberto [UNIFESP]
dc.contributor.authorGarrone, Gilmar [UNIFESP]
dc.contributor.authorOrtiz, Valdemar [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:27:31Z
dc.date.available2016-01-24T14:27:31Z
dc.date.issued2012-08-01
dc.description.abstractObjective: the Mitrofanoff principle is a well established strategy in pediatric urology, with the appendix and Yang-Monti tube being the most used channels. the search for an alternative tube with less morbidity is justified. Hence, we present a patient treated via an alternative approach in which the channel was constructed from two lower abdominal transverse skin flaps (the RPM technique).Methods: A 17-year-old patient with posterior urethral valves, hypocontractile bladder and experiencing pain on urethral clean intermittent catheterization was selected. the procedure consisted of defining two rectangular transverse skin flaps of 5 x 1 cm opposite to each other. the flaps were rotated 90 degrees and anastomosed to create a tube. A small extraperitoneal bladder wall incision was performed and the tube was connected to the bladder. Two rectal abdomen muscle strips were crossed in the midline as a neosphincter.Results: the patient had an uneventful postoperative course and remains continent for intervals of 4 h. the stoma and incision have a good cosmetic aspect at 16 months follow-up.Conclusion: the RPM technique is an alternative approach for a minimal invasive strategy according to the Mitrofanoff principle. Long-term follow-up is necessary to confirm the excellent initial results. (C) 2012 Journal of Pediatric Urology Company. Published by Elsevier B.V. All rights reserved.en
dc.description.affiliationUniversidade Federal de São Paulo, BR-01323000 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, BR-01323000 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent2
dc.identifierhttp://dx.doi.org/10.1016/j.jpurol.2012.02.003
dc.identifier.citationJournal of Pediatric Urology. Oxford: Elsevier B.V., v. 8, n. 4, 2 p., 2012.
dc.identifier.doi10.1016/j.jpurol.2012.02.003
dc.identifier.issn1477-5131
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/35136
dc.identifier.wosWOS:000306487300024
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofJournal of Pediatric Urology
dc.rightsAcesso restrito
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectMitrofanoffen
dc.subjectApendicovesicostomyen
dc.subjectUrinary diversionen
dc.titleAn alternative channel for the Mitrofanoff principle based on transverse skin flaps: An extraperitoneal minimal invasive approach (the RPM technique)en
dc.typeArtigo
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