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Hydrolysisof ACh involves electrostatic attraction of positively chargedN+ of ACh to the anionic site (Fig. The Wallace variant consists of anastomosing both spatulated ureterstogether—oriented “head to head” (Wallace I); or oriented in the opposite, “head to tail”direction (Wallace II)—and then directly anastomosing the combined complex to theproximal end of the IC segment.22 Although a Wallace type of anastomosis is technicallysimpler due to the creation of only one ureteroenteric anastomosis, complications at thisanastomosis put both kidneys at risk for damage

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