Totally robotic intracorporeal Monti-Yang continent ileovesicostomy in patient with previous robotic surgery-Technique description.
We present a video case report of a pediatric patient with previous robotic abdominal surgery who underwent robotic assisted Monti-Yang continent ileovesicostomy. This 10-year-old female had a history of spina bifida, with previous myelomeningocele repair and ventriculoperitoneal shunt as an infant and robotic-assisted Malone procedure and artificial urethral sphincter placed 4 years ago. After undergoing bilateral hip surgery, she presented with difficult urethral catheterization due to reduced leg mobility. A Monti-Yang ileovesicostomy procedure was planned. A 5 mm laparoscopic port placed through the umbilicus followed by four additional DaVinci XI working ports. Twenty centimeters proximal the ileocecal valve, a 3 cm segment of ileum was dissected, then transected, detubularized, and retubularized around a 10 Fr catheter. This conduit was reimplanted to the anterior bladder wall. The other edge was fixed to the umbilicus. A 10 Fr Foley catheter was left clamped in the conduit, and a urethral Foley was left to gravity. Total operative time was 3 h 56 min. The patient did well post-operatively. She was discharged home on POD 6. Starting three weeks after surgery, the patient began catheterizing through the umbilical stoma. At 3 month follow-up, the patient catheterizes through her stoma every 3 h without leakage between catheterizations.
Published In/Presented At
Galvez, C., Lopategui, D. M., Horodyski, L., & Castellan, M. (2021). Totally robotic intracorporeal Monti-Yang continent ileovesicostomy in patient with previous robotic surgery-Technique description. Journal of pediatric urology, 17(4), 579–580. https://doi.org/10.1016/j.jpurol.2021.05.002
Medicine and Health Sciences
Department of Medicine