Submitted by Dr. Raymond Rackley, Professor of Urology, Cleveland Clinic. This video describes a novel technique for creating a catheterizable stoma - The Continent Vesico-Cutaneous Channel (CVC). It is applicable in patients with urinary retention who have difficulties with urethral catheterization, particularly those with neurogenic bladders. The cutaneous channel is marked and incised. The rectus muscle bundles are isolated. A cystotomy is created. The channel is closed, brought between the rectus bundles, and approximated to the cystotomy. Source: An Original HealthTheater.tv Production
InstitutionGlickman Urological and Kidney Institute Cleveland Clinic, Cleveland, Ohio
santucci wrote über 2 Jahren ago
This was devised by Ray Rackley for children, although he has done it in adults. I have had about 50% success rate when using in adults. There is an inexplicable stenosis (the blood supply to the skin seemed good) in the failures. The real genius of this technique is the continence mechanism, where the channel is "braided" through the rectus.