Laparoscopic Repair of Traumatic Intraperitoneal Bladder Rupture

Abstract

A case of laparoscopic management of intraperitoneal traumatic bladder rupture is presented. The indication for laparoscopic revision of intraperitoneal bladder rupture is discussed. The advantages of an automatic suturing device are emphasized.

Laparoscopy as a Treatment for Intraperitoneal Bladder Injury

“…Even an extensive injury does not disqualify a patient from laparoscopic repair. Iselin et al (6) described a patient with an 8-cm injury that was treated by means of laparoscopy. Published reports suggest that there is no difference in outcome depending on Fig.…”

“…The perforation area sutured during laparoscopy. whether the bladder is repaired by simple suturing or using an automatic linear stapler; however, automatic suturing reduces the duration of surgery (6,7). Methods of suturing the bladder have not yet been unified.…”

“…Methods of suturing the bladder have not yet been unified. Iselin et al (6) use only one layer of sutures, whereas Yin et al (8) state that perforations >2 cm should be repaired by means of two layers. We placed one layer of sutures in all of our patients.…”

Laparoscopic repair of traumatic intraperitoneal bladder rupture: Case report and review of the literature

“…[6][7][8][9][10][11][12][13] The mechanisms of injury were either from blunt trauma or iatrogenic injury during cystoscopic bladder tumour biopsy or resection. All injuries were intraperitoneal and presumed to be isolated in hemodynamically stable patients.…”

“…6 Bladder defect sizes were mostly small, but also repaired successfully in larger defects up to 8 cm, and were located away from the trigone and ureters. 12 The repairs were performed with absorbable suture with a single-or two-layer closure, either continuous or interrupted. Leakage was tested intra-operatively with bladder filling, occasionally with indigo carmine solution, and postoperatively with conventional cystography about 10 days later.…”