Usefull Application of Cutaneous Uretero-Ileostomy

Research question: Cutaneous uretero-ileostomy is useful as an urinary diversion?

Material and Method: Experiment was carried out on five adult healthy dogs weighing ten to sixteen Kgs. of weight in the department of Surgery, Pt. JNM Medical College, Raipur.

Statistical Analysis: Proportion etc. were applied as and when required.

Observations: Cutaneous ureterostomy the operative procedure on an average lasted for 3 hours 6 minutes, 80 percent dogs developed cutaneous ulcers all around the ileostomy stoma. 40 percent dogs died in the period of observation. On autopsy one dog died of intestinal anastomotic leak while one dog died of urteroileal leak. In rest of the 3 dogs the diversion was found to be working efficiently.

Conclusion: Cutaneous uretero-ileostomy is the most suitable and physiologically exceptable method of diversion, However cutaneous ulcers around stoma and intestinal anastomotic leak has considerably masked the merits of this method. It carries the least incidence of urinary leakage, stomal stenosis and ascending urinary tract infection.