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. 2018 Aug 1;4(1):124–128. doi: 10.1089/cren.2018.0050

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© Graziano Vignolini et al. 2018; Published by Mary Ann Liebert, Inc.

This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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FIG. 3. — Intraoperative snapshots showing graft reperfusion and the key steps of ureterovesical anastomosis in our case. (A, B, E). After venous injection of 0.3 mg/kg of indocyanine green, Firefly^® fluorescence imaging technology and InUS were used to check graft reperfusion and integrity of ureteral vascularization (black arrow). (C, D). Closure of the extraperitoneal pouch reapproximating the two previously prepared PF by using hem-o-Lok clips (white arrows). (F–H). Key steps of ureteroneocystostomy using a modified Lich-Gregoir technique. After spatulation, the Ur is anastomosed to the bladder mucosa in a continuous fashion over the preplaced DJ; then, the detrusor muscle was closed with a running suture creating an antirefluxing mechanism. BM, bladder mucosa; Df, detrusor flap; InUS, intraoperative duplex ultrasound; PF, peritoneal flaps; Ur, ureter.