TRANSPLANTATION OF URETERS INTO LARGE INTESTINE BY SUBMUCOUS IMPLANTATION

Abstract

During the course of twenty-four years' study of this subject, three types or principles of technic have been introduced and numbered in the chronological order of their development:¹ Technic 1 (fig. 1 A). —The ureter is drawn into the interlamellar space immediately beneath the intestinal mucosa, and its split end is dragged through an opening made in the mucosa at the caudal end of an uncompleted intestinal incision and anchored inside the intestine, thereby bringing the open ureter into the intestinal lumen at the time of operation. Technic 2 (fig. 1 B). —A tube or catheter is fastened within the ureter by ligatures which both seal the ureter against intestinal infection and anchor it to the catheter, after which the catheter is passed through an opening made in the mucosa at the caudal end of an uncompleted intestinal incision and is used to draw the ureter into the interlamellar