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654 Boari flap technique in urinari reconstruction in gynecological cancer
  1. Marta Arnáez De La Cruz,
  2. Victor Lago Leal,
  3. Pablo Padilla Iserte,
  4. Luis Matute,
  5. Marta Gurrea Soteras and
  6. Santiago Domingo Del Pozo
  1. La Fe University and Polytechnic Hospital, Valencia, Spain


Introduction/Background Ureter is a structure frequently affected in gynecological tumors, this conditions its resection on certain surgeries. When it isn’t possible direct anastomosis, Boari-flap is a great options for the reconstruction of the urinary tract.

Methodology Cinical case: Patient with a relapse of endometrial cancer infiltrating the left ureter. Partial resection of the proximal ureter is performed, requiring a Boari flap for urinary reconstruction.

Results Video explain

  • First, it is important to mobilize the bladder to avoid tension of the ureter. We section the bladder longitudinally. Before, it is useful to fill the bladder with saline.

  • Then, we made a longitudinal ureterotomy and we was performed the anastomosis with three triangle-shaped sutures.

  • Before closure of the anastomosis, a double J stent placed into the ureter and bladder.

  • We approach the bladder flap transversely to the ureter and suture from side-to-side. It is possible to fix the bladder to the psoas to remove tension.

Finally, we suture the free edges of the bladder

Conclusion Boari-flap is a useful option for urinary reconstruction in cases of large ureteral resection. Allows tension-free anastomosis with good results.

Disclosures No disclosure.

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