“Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal Model

<h3>Background</h3><p dir="ltr">Pyeloplasty is a common surgical operation with a high success rate. However, significant challenges are to be optimized in the design of stenting systems in order to improve perioperative monitoring of urine drainage and enhance patient an...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Tariq Osman Abbas (18148378) (author)
مؤلفون آخرون: Mansour Ali (11247783) (author), Raphael Moog (18148381) (author)
منشور في: 2020
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author Tariq Osman Abbas (18148378)
author2 Mansour Ali (11247783)
Raphael Moog (18148381)
author2_role author
author
author_facet Tariq Osman Abbas (18148378)
Mansour Ali (11247783)
Raphael Moog (18148381)
author_role author
dc.creator.none.fl_str_mv Tariq Osman Abbas (18148378)
Mansour Ali (11247783)
Raphael Moog (18148381)
dc.date.none.fl_str_mv 2020-02-26T03:00:00Z
dc.identifier.none.fl_str_mv 10.2147/rru.s238572
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/_Double-Lumen_Valve-Controlled_Intra-Operative_Pyeloplasty_Stent_VIPs_A_New_Technology_for_Post-Pyeloplasty_Stenting_Proof_of_Concept_Study_in_a_Preclinical_Large_Animal_Model/25398325
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
pyeloplasty
stent
double lumen
animal model
dc.title.none.fl_str_mv “Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal Model
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Pyeloplasty is a common surgical operation with a high success rate. However, significant challenges are to be optimized in the design of stenting systems in order to improve perioperative monitoring of urine drainage and enhance patient and family comfort through easier post-operative care.</p><h3>Materials and Methods</h3><p dir="ltr">In a preliminary study in six pigs, handling, mechanical and functional features of this stent system were tested. In our main study, six double-lumen stents (230 mm long each) and 6F/9F external diameter were implanted through the ureteric walls of six domestic pigs to allow postoperative drainage and monitoring following ureteroureterostomy. After a 7-day survival period, monitoring with intravenous antibiotic coverage, and pain control, contrast antegrade pyelogram, under valve control, and renal ultrasonography were conducted and stents explanted and the animals were then euthanized.</p><h3>Results</h3><p dir="ltr">The double-lumen valve-controlled stent supported the healing of the neo anastomoses and helped to monitor perioperative urine drainage and perianastomotic leakage accurately. It also guided a well-controlled more informative radiological contrast-supported imaging before removal of the stents that confirmed the healing of the neo anastomotic site and no leak formation. The double-lumen system demonstrated high feasibility regarding its insertion, functionality, and removal capacities. The excellent flexibility of the individual stents allowed exact anatomically controlled implantation.</p><h3>Conclusion</h3><p dir="ltr">The double-lumen valve-controlled stent system was studied in a porcine model, which demonstrated its feasibility. Preclinical experience revealed favorable results concerning stent implantation, operability and functionality, in the perioperative management of pyeloplasty or ureteric surgery.</p><h2>Other Information</h2><p dir="ltr">Published in: Research and Reports in Urology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2147/rru.s238572" target="_blank">https://dx.doi.org/10.2147/rru.s238572</a></p>
eu_rights_str_mv openAccess
id Manara2_248d976a5e55ed9239e40b7009c2f754
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network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/25398325
publishDate 2020
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spelling “Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal ModelTariq Osman Abbas (18148378)Mansour Ali (11247783)Raphael Moog (18148381)Biomedical and clinical sciencesClinical sciencespyeloplastystentdouble lumenanimal model<h3>Background</h3><p dir="ltr">Pyeloplasty is a common surgical operation with a high success rate. However, significant challenges are to be optimized in the design of stenting systems in order to improve perioperative monitoring of urine drainage and enhance patient and family comfort through easier post-operative care.</p><h3>Materials and Methods</h3><p dir="ltr">In a preliminary study in six pigs, handling, mechanical and functional features of this stent system were tested. In our main study, six double-lumen stents (230 mm long each) and 6F/9F external diameter were implanted through the ureteric walls of six domestic pigs to allow postoperative drainage and monitoring following ureteroureterostomy. After a 7-day survival period, monitoring with intravenous antibiotic coverage, and pain control, contrast antegrade pyelogram, under valve control, and renal ultrasonography were conducted and stents explanted and the animals were then euthanized.</p><h3>Results</h3><p dir="ltr">The double-lumen valve-controlled stent supported the healing of the neo anastomoses and helped to monitor perioperative urine drainage and perianastomotic leakage accurately. It also guided a well-controlled more informative radiological contrast-supported imaging before removal of the stents that confirmed the healing of the neo anastomotic site and no leak formation. The double-lumen system demonstrated high feasibility regarding its insertion, functionality, and removal capacities. The excellent flexibility of the individual stents allowed exact anatomically controlled implantation.</p><h3>Conclusion</h3><p dir="ltr">The double-lumen valve-controlled stent system was studied in a porcine model, which demonstrated its feasibility. Preclinical experience revealed favorable results concerning stent implantation, operability and functionality, in the perioperative management of pyeloplasty or ureteric surgery.</p><h2>Other Information</h2><p dir="ltr">Published in: Research and Reports in Urology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2147/rru.s238572" target="_blank">https://dx.doi.org/10.2147/rru.s238572</a></p>2020-02-26T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.2147/rru.s238572https://figshare.com/articles/journal_contribution/_Double-Lumen_Valve-Controlled_Intra-Operative_Pyeloplasty_Stent_VIPs_A_New_Technology_for_Post-Pyeloplasty_Stenting_Proof_of_Concept_Study_in_a_Preclinical_Large_Animal_Model/25398325CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/253983252020-02-26T03:00:00Z
spellingShingle “Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal Model
Tariq Osman Abbas (18148378)
Biomedical and clinical sciences
Clinical sciences
pyeloplasty
stent
double lumen
animal model
status_str publishedVersion
title “Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal Model
title_full “Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal Model
title_fullStr “Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal Model
title_full_unstemmed “Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal Model
title_short “Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal Model
title_sort “Double-Lumen Valve-Controlled Intra-Operative Pyeloplasty Stent (VIPs)”: A New Technology for Post-Pyeloplasty Stenting – Proof of Concept Study in a Preclinical Large Animal Model
topic Biomedical and clinical sciences
Clinical sciences
pyeloplasty
stent
double lumen
animal model