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| Novel technique (Ramalingam technique) of port site retrograde intra renal surgery through exteriorized ureter during laparoscopy |
Manickam Ramalingam( ),Kallappan Senthil,Sivasankaran Nachimuthu
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| Urology Department, Hindusthan Hospital, Coimbatore, India |
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Received: 03 June 2021
Available online:
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Corresponding Authors:
Manickam Ramalingam
E-mail: uroram@gmail.com
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Operative related images. (A) Computed tomography scan showing a 14 mm right renal calculus; (B) Right retrograde pyelogram confirming long lower ureteric stricture; (C) Right ureter mobilised up to pelvic brim and brought out through 10 mm flank port; (D) Flexible ureterorenoscopy advanced through the exteriorised ureter; (E) Laser lithotripsy done and fragments basketed out; (F) Diagrammatic representation of the procedure; (G) Ureter stented, pushed back into the peritoneal cavity; (H) Boari flap reconstruction in progress; (I) Boari flap completed and omentum wrapped; (J) 2 weeks post-operative ultrasonogram scan of Boari flap; (K) Post-operative plain computerized tomogram of Case 1 showing clearance of renal stone; (L) Post-operative ultrasonogram of Case 1 showing regression of the hydronephrosis; (M) Post-operative cystoscopic view of Nipple valve reimplantation of Case 2; (N) Computerized tomogram showing good drainage of left ureter of Case 2.
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