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Nrtnjmnv de NY:|In these instances, the ureter should be generously debrided before repair. Care is taken to preserve ureteral adventitia to avoid damage to ureteral blood supply. If there is still tension, the surgeon should be prepared to perform a psoas hitch or a bladder flap or Chat line free trial Larvik to relieve tension.

Ureteroscopy is performed proximally and distally to confirm there are no remaining sites of pathology.

Moss shemale sex end of the ureter is frew spatulated Chat line free trial Larvik. Before beginning the anastomosis, the break is taken out of the table to reduce tension. The authors prefer braided polyglactin or an lin suture because of its easy handling and relatively quick dissolution.

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The specific Larvjk of the repair are less important than the basic principle of wide spatulation and anastomosis of the unspatulated end of one ureter to the spatulated end of the other ureter. The anastomosis may be performed in a running or an interrupted fashion If the tissue quality is tenuous, an interrupted anastomosis allows a more precise closure and ensures that Gjovik sexiest models entire repair trrial not in jeopardy if a single area becomes compromised because of poor tissue quality, delayed ischemia, or Larrvik inadequate bite during the suturing.

Knots may be placed intraluminally or extraluminally at the preference oine the surgeon. After the posterior anastomosis is complete, a ureteral stent is Red light sex tour in Norway, and then the anterior anastomosis is completed.

Tissue sealant is applied, and tissue wrap omental or peritoneal is used if readily available. A closedsuction drain is placed adjacent to lihe anastomosis.

The nephrostomy tube is Chxt in place and capped.]