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RESIDENT’S CORNER

The use of adhesion barrier film as an alternative to omental wrap in open ureterolysis

Robert J. Hartman, Jr.¹, Brian T. Helfand², William W. Lin²

1 Division of Urology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
2 Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Address correspondence to Dr. Robert J. Hartman, Division of Urology, Brigham and Women’s Hospital, 45 Francis Street, ASB II-3, Boston, MA 02115 USA

Canadian Journal of Urology 2013, 20(6), 7064-7066.

Abstract

Retroperitoneal fibrosis (RPF) is a rarely occurring disease process characterized by the development of fibrous plaques that encase retroperitoneal organs and major vessels. The most common sequelae is obstructive uropathy secondary to ureteral compression. Ureterolysis with intraperitoneal transposition and omental wrapping has historically been a popularized means to relieve ureteral obstruction. We present the case of a 47-year-old man with bilateral hydronephrosis secondary to RPF. Due to insufficient length of omentum, we report the first documented use of SurgiWrap to wrap the ureters to minimize the future possibility of recurrent/continued fibrosis, compression, and ureteral obstruction.

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