2022 AMI Online Salon

Neo-Bladder from the Ileum

Project Details

  • Entrant Name:  Jill Gregory
  • Client: Etienne Lavallee, MD
  • Copyright: Mount Sinai Health System, 2021
  • Medium/software used: Adobe Photoshop and Illustrator
  • Final presentation format: Peer-Reviewed Medical Journal
  • Primary Audience: Urologists

Project Description

This illustration concisely depicts the crucial steps in creating a bladder from a patient’s ileum after their diseased bladder has been removed. In this figure, the ileum has already been harvested and has been anastomosed to the patient’s urethra. Steps A – E show the manipulation of the tissue needed to convert the tubular ileum into a sack for containing urine. Important measurements are in panel A, and points 1-7 on the ileum help guide the viewer as the tissue is manipulated. Steps F – H describe the anastomoses of the ureters to the neo-bladder. Importantly, catheters are fed through the neo-bladder wall into the ureters while the patient heals. They are removed in a subsequent procedure. I used surgical video for accurate tissue color, and confirmed that the contrast between tissue and labels is also sufficient in black and white.