Abstract
Herein, we review the concepts of watertight anastomosis and graft take, which are two principles that are vital for reconstructive urologists to understand. With regard to watertight anastomosis, obtaining a circumferential mucosa-to-mucosa approximation is critical for successful urinary tract reconstruction. Failure to do so may cause delayed healing and may even lead to the formation of urinoma, abscess, fistula, and obstruction. With regard to graft take, the process involves two parts: imbibition, the passive diffusion of nutrients and metabolic wastes between the graft tissue and host site, and inosculation, the formation of new vascular connections and capillary in-growth of host vasculature. Furthermore, we review Gillies’ principles, which can provide a strong framework for approaching any urinary tract reconstructive surgery.
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Lee, Z., Sterling, M.E., Metro, M.J. (2022). Principles of Reconstruction: Spatulation, Blood Supply, and Wound Healing. In: Stifelman, M.D., Zhao, L.C., Eun, D.D., Koh, C.J. (eds) Techniques of Robotic Urinary Tract Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-50196-9_3
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