Laparoscopy as a Treatment for Intraperitoneal Bladder Injury

Gołąb, Adam; Słojewski, Marcin; Gliniewicz, Bartłomiej; Sikorski, Andrzej

doi:10.1080/00365590310014779

Cited by 13 publications

(7 citation statements)

References 6 publications

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“…[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.…”

Section: Discussionmentioning

confidence: 99%

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

Kim

Roberts

2012

CUAJ

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Section: Discussionmentioning

confidence: 99%

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

Kim

Roberts

2012

CUAJ

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Section: Discussionmentioning

confidence: 83%

“…[8910] This has been reported in the adult series as well as animal studies. [5] Further, interrupted stitches seem to be effective so long as water tight closure is confirmed[10] as was seen in one of our cases. This flexibility is of great help and importance when working in small abdomens and relatively difficult angles as can happen in little children with injuries of the intraperitoneal bladder wall, which are difficult to access (posterior) or difficult to suture (anterior).…”

Section: Discussionmentioning

confidence: 83%

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Laparoscopic repair of intra-abdominal bladder perforation in preschool children

2017

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Intraperitoneal bladder rupture is uncommon in very young children, but its incidence may increase with increasing use of seat and lap belts. To the best of our knowledge, there are no prior reports of laparoscopic repair of this injury in children. We describe two recent cases and discuss useful technical points that facilitate a successful laparoscopic repair. Both our patients were preschool age girls who sustained seat and lap belt injuries. Contrast computed tomography scan suggested a large amount of free peritoneal fluid and cystogram confirmed intraperitoneal bladder perforation (isolated injury). The injury was repaired using delayed absorbable sutures and intracorporeal suturing (continuous in 1, interrupted in 1) using a 3 port laparoscopic technique. Meticulous peritoneal lavage was carried out to minimise urinary peritonitis and the bladder as well as the peritoneal cavity were drained. Check cystograms (day 7) revealed no leaks. Young girls appear to be at risk of intraperitoneal bladder injuries following lap belt injuries. After exclusion of life-threatening injuries and concurrent abdominal injuries which need rapid control or preclude pneumoperitoneum, a laparoscopic repair can be safely performed.

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“…Laparoscopic repair of iatrogenic intraperitoneal bladder perforation has previously been reported as a more conservative alternative to open laparotomy. 7,8 Passing the resectoscope through the perforation and using this to guide the percutaneous placement of a pigtail drain has also been described. 9 We would like to present a case in which a small 20F zero degree urethroscope was passed through a perforation created during TURBT to inspect the adjacent bowel for possible injury and to avoid an open laparotomy.…”

Section: Introductionmentioning

confidence: 99%

A minimally invasive approach to transperitoneal perforation of the bladder during bladder tumour resection

Bishay

Honey

2016

CUAJ

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The authors present a case of intraperitoneal rupture of the bladder during transurethral resection of a bladder tumour (TURBT), which was managed conservatively. By passing a urethroscope -which was smaller in diameter than the perforation -through the hole, a small superficial burn was identified on the adjacent bowel and deemed benign, saving this patient with multiple comorbidities from having to undergo an open laparotomy. The bladder was drained with a Foley catheter to allow the perforation to heal and the patient was discharged without incident. By using this approach, a direct view of the neighbouring structures confirmed the integrity of bowel and prevented the need for increased risks associated with a laparotomy.

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Laparoscopy as a Treatment for Intraperitoneal Bladder Injury

Abstract: Laparoscopic repair of iatrogenic bladder perforation is a valuable alternative to open surgery.

Cited by 13 publications

References 6 publications

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

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

Laparoscopic repair of intra-abdominal bladder perforation in preschool children

A minimally invasive approach to transperitoneal perforation of the bladder during bladder tumour resection

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