ABSTRACT Introduction and Objectives: Management of recurrent ureteropelvic junction obstruction (UPJO) following pyeloplasty presents a challenging clinical problem. Failure of initial pyeloplasty is, in part, secondary to ureteral devascularization and subsequent fibrosis. In this video, we present a case of an anastomotic augmentation with cryopreserved placental tissue (CPT) to improve tissue healing and angiogenesis, and aid with the success of re-do robotic pyeloplasty. Materials and Methods: We present a 46-year-old female with history of recurrent left-sided UPJO treated by initial endopyelotomy and then open pyeloplasty. She underwent re-do robotic pyeloplasty (DaVinci Si™, Intuitive Surgical) with CPT. The patient was placed in the flank position; a 12mm camera port, three 8mm robotic ports, and a 12mm assistant port were used. The renal pelvis and upper ureter were mobilized to reveal a dense scar at the UPJ. A dismembered pyeloplasty was performed with barbed suture. After completion of the anastomosis, a section of CPT (Stravix™, Osiris Therapeutics) was wrapped around the anastomosis. CPT is composed of umbilical amnion and Wharton's jelly, which contains a mixture of extracellular matrix, and growth factors. The CPT is prepared and thawed on the bedside table, and placed into the peritoneum through the 12mm port in the correct orientation. The wrap is secured to the anastomosis with a fibrin sealant (EVICEL™, Johnson & Johnson). Results: The patient experienced resolution of flank pain. MAG3 renogram demonstrated resolution of obstruction at 6 months, with improvement of T½ time from 34 minutes to 7 minutes, with sustained improvement with repeat scan 18 months after surgery. Ureteroscopy demonstrated a patent UPJ. Strategies for successful robotic pyeloplasty after initial failed management include: (1) use of appropriate CPT agent to support the anastomosis - selection of thicker, more durable CPT to allow passage through laparoscopic port, (2) preparation on bedside table with enough time to allow thawing, (3) marking Wharton's jelly side of tissue for orientation, and (4) use of sealing agent to secure CPT to the anastomosis and prevent dislodgement. Conclusions: We demonstrate a novel approach to manage recurrent UPJ obstruction with robotic surgery using CPT. Placenta-derived products may have an increasing role in the performance of complex robotic urologic reconstructive surgery.

ABSTRACT A recent study of the meiofauna from several intertidal sites along the coast of Chile yielded several gastrotrich specimens. The number of specimens was too small to assess the ecology of the individual species; however, as there are no published records of Gastrotricha in Chile until recently, it is important to document the presence of this group in order to stimulate further research. We report specimens of the genera Lepidodasys, Cephalodasys, Macrodasys, Tetranchyroderma, Xenotrichula and several morphotypes of Turbanella. Additionally, we provide some initial data on the population density of Lepidodasys sp. at Coihuin (Puerto Montt) and an observation of them feeding on nematodes.

Free-living nematodes are an important component of the marine benthos. In Chile there have been few studies on this group, and the majority has focused on the morphological aspect only. In this study, ribosomal 18S RNA and mitochondrial COI genes were used as genetic markers to complement morphological analyses to study the continental and Antarctic Chilean marine nematofauna. Different protocols for fixing, extracting and amplifying DNA were also tested. Not all the possible combinations produced good results. In fact, only the 18S gene showed consistently results. Phylogenetic analyses showed some discordance between classical taxonomy (i.e., based on morphology) and molecular data. These results suggest that taxonomic classification using integrative approaches including morphological characteristics and molecular information is needed to study the diversity and evolution of this complex group.

A comprehensive literature review was conducted to determine the species richness of all the possible taxa of free-living benthic marine invertebrates in Chile. In addition, the extent of endemism to the Pacific Islands and deep-sea, the number of non-indigenous species, and the contribution that the Chilean benthic marine invertebrate fauna makes to the world benthic marine invertebrate fauna was examined. A total of 4,553 species were found. The most speciose taxa were the Crustacea, Mollusca and Polychaeta. Species richness data was not available for a number of taxa, despite evidence that these taxa are present in the Chilean benthos. The Chilean marine invertebrate benthic fauna constitutes 2.47 % of the world marine invertebrate benthic fauna. There are 599 species endemic to the Pacific Islands and 205 in the deep-sea. There are 25 invasive or non-indigenous species so far identified in Chile. Though the Chilean fauna is speciose there is still a considerable amount of diversity yet to be described, particularly amongst the small bodied invertebrates and from the less well explored habitats, such as the deep-sea

Se realizó una revisión exhaustiva de la literatura para determinar la riqueza de especies de todos los taxa de invertebrados bentónicos de vida libre en Chile. Además, se analizó el endemismo de invertebrados marinos bentónicos para las islas chilenas del Pacífico y el mar profundo y el número de especies no indígenas; del mismo modo que la contribución de estos invertebrados a la riqueza mundial de invertebrados bentónicos marinos. Para Chile se acumuló un total de 4.553 especies de invertebrados bentónicos. Los taxa con más especies fueron Crustacea, Mollusca y Polychaeta. En algunos taxa de invertebrados no se encontró información sobre la diversidad de especies presentes en Chile, a pesar de existir evidencia de que éstos están presentes en el bentos marino chileno. Los invertebrados bentónicos marinos chilenos contribuyen con el 2,47 % de la riqueza mundial de dichos invertebrados. Se encontraron 599 especies endémicas de las islas chilenas del Pacífico y 205 especies endémicas para el mar profundo. Hasta ahora en Chile se han identificado sólo 25 especies invasoras de invertebrados bentónicos marinos. Los invertebrados bentónicos marinos chilenos son diversos, pero aún hay especies no descritas, especialmente dentro de los invertebrados bentónicos de pequeño tamaño corporal que se encuentran en habitat poco explorados, como por ejemplo el mar profundo