Boari Kuss Technique for Iatrogenic Ureter Injury on Single Kidney at C.H.U le Luxembourg about a Case and Review of the Literature

作     者：Alkadri Diarra Pape Kanoute Aristo Tsayem Amadou Kassogué Badara Cissoko Mamoutou dit Mody Keita Dramane Cissé Felix Sanogo Richie Dioguey Calmer Seydou Younoussa Coulibaly Harouna Simido Alkadri Diarra;Pape Kanoute;Aristo Tsayem;Amadou Kassogué;Badara Cissoko;Mamoutou dit Mody Keita;Dramane Cissé;Felix Sanogo;Richie Dioguey Calmer;Seydou Younoussa Coulibaly;Harouna Simido

作者机构：Urology Department CHU Mother Child Luxembourg Bamako Mali 

出 版 物：《Open Journal of Urology》 (泌尿学期刊（英文）)

年 卷 期：2024年第14卷第11期

页      面：554-561页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Reimplantation BOARI KUSS Technique Iatrogenic Lesion Loss of Substance Lower Ureter 

摘      要：Introduction: Ureteral lesions, most often iatrogenic, generally follow pelvic surgery. They are serious and can be life-threatening. Uretero-vesical reimplantation using the BOARI technique, modified by KUSS, was popularized in humans in 1954, and appears to be the most appropriate treatment for lesions of the lower ureter with significant loss of substance. Observation: We report in this work a case of iatrogenic ligation of the pelvic ureter on a single functional kidney (of fortuitous discovery) during gynecological surgery, having led to an Alteration of the General State (important Urinoma and collapse of the renal function) and treated by the surgical technique of BOARI KUSS at the urology department of the CHU Le Luxembourg. Follow-up and postoperative follow-up were excellent. Conclusion: Surgical repair of the ureter is very often indicated in cases of stenosis or iatrogenic lesions of the ureter. The BOARI KUSS technique is a good choice in cases of significant loss of substance due to injury to the lower ureter. Gynecological surgery is the main source of these lesions, and the prognosis of the treatment depends on how early the diagnosis is made, the anatomical condition of the ureter and the expertise of the surgical team.