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Robot Assisted lower ureteric reconstruction using Boari Flap

Robot Assisted lower ureteric reconstruction using Boari Flap

Post Open Hysterectomy, loss of lower ureter, presented as pain, fever and leucocytosis

Percutaneous Nephrostomy was done and referred for further management

Picture of Nephrostogram was showing sudden cut off of the ureter below the iliac crossing

6 weeks later Robot assisted procedure was performed

Patient was in semi lateral position, Robot docked obliquely

Post operatively, orally allowed after 8 hours

Discharged with Foley catheter after 36 hours

Stent removed after 8 weeks

 DTPA after 4 weeks of stent removal, good drainage

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