[Plaster casts in orthopedics and traumatology].
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Biomedical subjects
Publications and source records attributed to J Czopik.
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A long prevesical ureteral defect was bridged by a somewhat modified Boari's operation. The bladder flap appeared too narrow and thick and was therefore unsuitable for the creation of a tube. It was therefore turned upwards and left in the wound as a buried strip with the upper ureteral stump submucosally implanted in the upper end of the flap. During several weeks a tube developed spontaneously from the flap. The late result was satisfactory.
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Late results after primary repair in 49 recent urethral injuries of the urethra treated through a perineal approach by sutures of realignment with splinting, and suprapublic and perineal drainage were assessed by measuring urethral flow, urethrography, urine analysis and other examinations. In 15 straddle injuries the results were excellent. Of 34 injuries associated with pelvic fracture 50% had satisfactory results. 12% had marked, but tolerable difficulties in micturition. Important details of operative technique are mentioned. A preference for primary repair in comparison with early cybstostomy and delayed reconstruction of the urethra is confirmed.
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