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In these instances, the ureter should be generously debrided before repair.

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Care is taken to preserve ureteral adventitia to avoid damage to ureteral blood supply. If there is still tension, the surgeon Free classified ads Lerum be prepared to perform a psoas hitch or a bladder flap or both to relieve tension.

Ureteroscopy predjction Online Ludvika astrology prediction free proximally and distally to confirm there are no remaining sites of pathology. Each end of the ureter is widely spatulated 1. Before beginning the anastomosis, the break is taken out of the table to reduce tension. The authors prefer braided polyglactin or an equivalent suture because of its easy handling Online Ludvika astrology prediction free relatively quick dissolution.

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Knots may be placed intraluminally or extraluminally at the preference of the surgeon. After the posterior anastomosis is complete, a ureteral stent is placed, and then the anterior anastomosis is completed. Tissue sealant is applied, and tissue wrap omental or peritoneal is used if readily available.

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A closedsuction drain is placed adjacent to the anastomosis. The nephrostomy tube is left in place and capped. English English Farsi.

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