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Modified Indiana Pouch: Surgical technique and preliminary results

– Two modified continent Indiana Pouch techniques are presented, one of which using gastrointestinal anastomosis (GIA) staplers. The authors describe their experience with 88 patients who underwent the above operation at the Divisions of Urology in the Maria Vittoria Hospital of Turin and S. Maria Nuova Hospital of Reggio Emilia. Mean follow-up is 18 months (range 4-26). A total of 24 post-operative complications are described: 2 bowel obstructions, 4 strictures of the stoma, 3 parastomal hernias, 1 pouchitis and 1 acute pyelonephritis, 2 cases of incontinence, 2 of over-distension of the pouch, 5 ureteral obstructions and 4 cases of diarrhoea. Neither stones of the pouch nor metabolic acidosis were observed. Using GIA staplers for tailoring the pouch saves 120 minutes operating time for an additional cost of about 600 $.