Bladder rupture after inguinal herniotomy

Abstract

An 18-month-old male sustained an extensive bladder injury during a routine right inguinal herniotomy. Primary closure of the remaining detrusor was performed. Three months postoperatively he could void spontaneously, but with a small, contracted bladder and bilateral vesicoureteral reflux. He was stable throughout a 6-month follow-up period. Further surgical options will depend upon the bladder capacity and the grade of reflux.

Laparoscopic inguinal herniorrhaphy in babies weighing 5 kg or less

“…In the cases reported by Miyano et al [23] and by Chung and Yu [24], even after Miyano et al [23] reported the need for sigmoidocolocystoplasty for bladder augmentation. The same authors concluded that inguinal hernia repair (the open technique) may be difficult, even in the most experienced of hands, and can result in complications, especially in small infants.…”

“…Serious intraoperative complications such as bladder injury or rupture, which can occur in open surgery with excessive mobilization of the sac, are unlikely with the laparoscopic technique due to superior visualization of the anatomic structures [23][24][25]. In the cases reported by Miyano et al [23] and by Chung and Yu [24], even after Miyano et al [23] reported the need for sigmoidocolocystoplasty for bladder augmentation.…”

Direct bladder hernia after indirect hernia repair in extremely low birth weight babies: two case reports and a review of the literature

“…19854.5 wk.MRightInguinal hernia, bilateralSubtotal bladder resection, dissection of the funiculusBladder incorporated into the indirect hernia sac[3] Redmann et al . 19855 wk.MLeftInguinal hernia, bilateralNear-total bladder resection, dissection of both ureters[4] Chung and Yu 199918 mo.MRightInguinal herniaNear-total bladder resectionBladder incorporated into the indirect hernia sac[14] Koot et al . 19983 mo.FLeftInguinal herniaBladder open at the top, persistent indirect hernia on the leftPrematurity, overly medial incision and dissection of the transversalis fascia[5] Bakal et al .…”

“…Relapses might occur as indirect or direct hernias [4]. Rare forms of inguinal hernias may occur [5], and the surgeon must be aware that the urinary bladder can be involved in indirect and direct hernias [6–16].…”

Our Cases and Literature Review for Presence of Bladder Hernias in the Inguinal Region in Children

“…The data of two unpublished cases from our department were added to the data set. Selection of these cases was made by reviewing the clinical records of all patients admitted to our department for an inguinal hernia in both elective and urgent settings from January 1990 to December 2021 [5,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”