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CREIGHTON A. HARDIN, M.D.

AMA Arch Surg. 1954;68(1):57-61.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

OCCASIONALLY the surgeon is confronted with the vexing problem of restoring a gap in the ureter. If the defect is extensive, he must be content with a choice of either nephrectomy, cutaneous ureterostomy, uterosigmoidostomy, or ureteroureteral anastomosis.¹ A defect of the distal ureter near the bladder can be reconstructed by utilizing a full-thickness flap of bladder wall fashioned into a tube.²

Experimentally, segments of the ureter have been successfully bridged by the substitution of a loop of terminal ileum.³ The transplantation of dog ureters into the duodenum caused death from electrolyte imbalance.⁴ Vitallium⁵ and fascial transplants⁶ have been used as a direct method of reconstructing ureteral defects. Vitallium tubes are reported to be tolerated in the urinary tract of the dog for as long as nine months without causing encrustrations. End-to-end anastomosis of the ureter over a straight Vitallium tube healed per primam in . . . [Full Text PDF of this Article]

Author Affiliations
KANSAS CITY, KAN.

From the Department of Surgery, University of Kansas Medical Center.

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