Surgical Technical Steps

For laparoscopic or open approaches the surgical technique of enterocystoplasty is based on the following fundamentals: (i) selection of an optimal segment of bowel based on a broad, well-vascularized mesenteric pedicle, (ii) isolation of the bowel segment, (iii) re-establishment of bowel continuity and closure of the mesenteric defect, (iv) detubularization and reconfiguration of the bowel segment without peritoneal soiling of bowel contents, (v) bladder mobilization with formation of an adequate sized cystotomy, (vi) creation of a tension-free, watertight, full-thickness, circumferential anastomosis of the bowel to the bladder, and (vii) confirmation of adequate postoperative urinary drainage.

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