Pharmacy Services Charges including Drugs &Medical Consumables
1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is Mitrofnoff Procedure?
It is a surgical procedure to assist with bladder emptying. Generally, developed for use in children, the Mitrofanoff procedure has become a surgical option for people living with spinal cord injury and neurogenic bladder. People who have difficulty with self-catheterization through the urethra or have discomfort with self-catheterization have had the Mitrofanoff procedure to some success.
During the surgery, the appendix is cut away from the intestine but not from its blood supply. The surgeon sews one end of the appendix to the back side of the bladder. The other end of the appendix is then pulled up and attached to the belly. A small hole is made on each end of the new tube (one on the belly or in the belly button, one in the bladder) so that children can put in a catheter through the opening on their belly or belly button to empty the bladder.
Mitrofanoff procedures are often done for children with:
Spina bifida and myelomeningocele
Spinal cord injuries
Neurogenic bladder or non-neurogenic neurogenic bladder
It allows intermittent catheterization – once every few hours.
Lower risk of infection than a permanent (indwelling) catheter.
It allows one to not leak urine continually like an ileovesicostomies, which drain from a hole (stoma) in the belly into a bag.
Children do not have to wear diapers and can stay dry between catheterizations.
Empty bladders independently and without transfer to a toilet. The opening in the belly is very small; most are hard to see even when looking at the belly.
You can schedule the operation in advance. Mitrofanoff procedures require a stay of 4 to 7 days at the hospital. If your child has constipation problems, or is undergoing robot-assisted surgery or multiple operations at the same time, he or she will need to arrive a day before the scheduled surgery to help clean out their bowels.
There are two possible ways the surgery may be done:
Open surgery - A small cut is made in the lower belly. The skin is pulled aside so the surgeon can see and work directly on the child. This is the only surgical technique used in many hospitals.
Robotic surgery – Several tiny cuts (several millimeters wide) are made in the belly. The surgeon uses a computer to control the robotic arms, which move small tools underneath the skin to do the operation.
A suprapubic catheter (tube) drains urine from your bladder. It is inserted into your bladder through a small hole in your belly. You may need a catheter because you have urinary incontinence (leakage), urinary retention (not being able to urinate), surgery that made a catheter necessary, or another health problem.
The site of a catheter is easier to keep clean. The procedure is reversible. When a catheter is removed permanently, the hole heals quickly. A larger size catheter can be used suprapubically, reducing the risk of a blocked catheter.
Doctor will change it 4 to 6 weeks after they put it in. After that, you should be able to do it on your own, usually every 1 to 3 months, unless there's a problem that makes you need to replace it right away.
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