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John J, Mngqi N, Lazarus J, Kesner K. Intraperitoneal bladder perforation after routine urethral catheterisation. JOURNAL OF CLINICAL UROLOGY 2021. [DOI: 10.1177/20514158211002711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Jeff John
- Division of Urology, Department of Surgery, Frere Hospital and Walter Sisulu University, East London, South Africa
| | - Noma Mngqi
- Division of Urology, Department of Surgery, Frere Hospital and Walter Sisulu University, East London, South Africa
| | - John Lazarus
- Division of Urology, Department of Surgery, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa
| | - Ken Kesner
- Division of Urology, Department of Surgery, Frere Hospital and Walter Sisulu University, East London, South Africa
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Coccolini F, Moore EE, Kluger Y, Biffl W, Leppaniemi A, Matsumura Y, Kim F, Peitzman AB, Fraga GP, Sartelli M, Ansaloni L, Augustin G, Kirkpatrick A, Abu-Zidan F, Wani I, Weber D, Pikoulis E, Larrea M, Arvieux C, Manchev V, Reva V, Coimbra R, Khokha V, Mefire AC, Ordonez C, Chiarugi M, Machado F, Sakakushev B, Matsumoto J, Maier R, di Carlo I, Catena F. Kidney and uro-trauma: WSES-AAST guidelines. World J Emerg Surg 2019; 14:54. [PMID: 31827593 PMCID: PMC6886230 DOI: 10.1186/s13017-019-0274-x] [Citation(s) in RCA: 60] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Accepted: 10/23/2019] [Indexed: 12/22/2022] Open
Abstract
Renal and urogenital injuries occur in approximately 10-20% of abdominal trauma in adults and children. Optimal management should take into consideration the anatomic injury, the hemodynamic status, and the associated injuries. The management of urogenital trauma aims to restore homeostasis and normal physiology especially in pediatric patients where non-operative management is considered the gold standard. As with all traumatic conditions, the management of urogenital trauma should be multidisciplinary including urologists, interventional radiologists, and trauma surgeons, as well as emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST) kidney and urogenital trauma management guidelines.
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Affiliation(s)
- Federico Coccolini
- General, Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia, 56124 Pisa, Italy
| | | | - Yoram Kluger
- Division of General Surgery Rambam Health Care Campus, Haifa, Israel
| | - Walter Biffl
- Trauma Surgery Dept., Scripps Memorial Hospital, La Jolla, California USA
| | - Ari Leppaniemi
- General Surgery Dept., Mehilati Hospital, Helsinki, Finland
| | - Yosuke Matsumura
- Department of Emergency and Critical Care Medicine, Chiba University Hospital, Chiba, Japan
| | - Fernando Kim
- Urology Department, University of Colorado, Denver, USA
| | | | - Gustavo P. Fraga
- Trauma/Acute Care Surgery & Surgical Critical Care, University of Campinas, Campinas, Brazil
| | - Massimo Sartelli
- General and Emergency Surgery, Macerata Hospital, Macerata, Italy
| | - Luca Ansaloni
- General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy
| | - Goran Augustin
- Department of Surgery, Zagreb University Hospital Centre and School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Andrew Kirkpatrick
- General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, Alberta Canada
| | - Fikri Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates
| | - Imitiaz Wani
- Department of Surgery, DHS Hospitals, Srinagar, Kashmir India
| | - Dieter Weber
- Department of General Surgery, Royal Perth Hospital, Perth, Australia
| | - Emmanouil Pikoulis
- 3rd Department of Surgery, Attiko Hospital, National & Kapodistrian University of Athens, Athens, Greece
| | - Martha Larrea
- General Surgery, “General Calixto García”, Habana Medicine University, Havana, Cuba
| | - Catherine Arvieux
- Clin. Univ. de Chirurgie Digestive et de l’Urgence, CHUGA-CHU Grenoble Alpes UGA-Université Grenoble Alpes, Grenoble, France
| | - Vassil Manchev
- General and Trauma Surgery Department, Pietermaritzburg Hospital, Pietermaritzburg, South Africa
| | - Viktor Reva
- General and Emergency Surgery, Sergei Kirov Military Academy, Saint Petersburg, Russia
| | - Raul Coimbra
- Department of General Surgery, Riverside University Health System Medical Center, Moreno Valley, CA USA
| | - Vladimir Khokha
- General Surgery Department, Mozir City Hospital, Mozir, Belarus
| | - Alain Chichom Mefire
- Department of Surgery and Obstetrics and Gynecology, University of Buea, Buea, Cameroon
| | - Carlos Ordonez
- Trauma and Acute Care Surgery, Fundacion Valle del Lili, Cali, Colombia
| | - Massimo Chiarugi
- General, Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia, 56124 Pisa, Italy
| | - Fernando Machado
- General and Emergency Surgery Department, Montevideo Hospital, Montevideo, Paraguay
| | - Boris Sakakushev
- General Surgery Department, Medical University, University Hospital St George, Plovdiv, Bulgaria
| | - Junichi Matsumoto
- Department of Emergency and Critical Care Medicine, Saint-Marianna University School of Medicine, Kawasaki, Japan
| | - Ron Maier
- Department of Surgery, Harborview Medical Centre, Seattle, USA
| | - Isidoro di Carlo
- Department of Surgical Sciences and Advanced Technologies “GF Ingrassia”, Cannizzaro Hospital, University of Catania, Catania, Italy
| | - Fausto Catena
- Emergency and Trauma Surgery, Maggiore Hospital, Parma, Italy
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Computed tomography (CT) in the evaluation of bladder and ureteral trauma: indications, technique, and diagnosis. Abdom Radiol (NY) 2019; 44:3962-3977. [PMID: 31494707 DOI: 10.1007/s00261-019-02161-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Trauma to the genitourinary system includes blunt and penetrating injuries to bladder and ureters. These are rare injuries and are overlooked as other abdominal and pelvic injuries often take priority. Delayed diagnosis can lead to significant morbidity and mortality. Computed tomography has taken a central role in the imaging of the ureters and bladder. METHODS This article reviews the anatomic relationships, mechanisms of injury, and clinical presentation to help physicians determine when bladder and ureteral injuries should be suspected and further imaging should be pursued. Radiologic evaluation of bladder and ureteral injury with CT cystography and CT urography, respectively, will be reviewed. CONCLUSION CT cystography and CT urography are effective tools in identifying potentially serious injuries to the genitourinary system. Timely recognition of these injuries can be crucial for the overall management and prognosis.
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Elkbuli A, Ehrhardt JD, Hai S, McKenney M, Boneva D. Management of blunt intraperitoneal bladder rupture: Case report and literature review. Int J Surg Case Rep 2019; 55:160-163. [PMID: 30739872 PMCID: PMC6369329 DOI: 10.1016/j.ijscr.2019.01.038] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 01/28/2019] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Urinary bladder ruptures are an uncommon injury, occurring in less than 1% of all blunt abdominal trauma. Extraperitoneal bladder ruptures are generally associated with pelvic fractures and usually managed nonoperatively. Conversely, intraperitoneal injuries are often caused by large compressive and shear forces produced during seatbelt injuries and almost invariably require surgical intervention. PRESENTATION OF CASE A 29-year-old woman presented as a trauma alert after a motor vehicle collision with abdominal/flank pain and gross hematuria. Free intraperitoneal fluid was found on ultrasound and CT imaging. Exploratory laparotomy located an intraperitoneal rupture across the bladder dome. The patient recovered without complications, was discharged on postoperative day three, and continued bladder catheter care at home for an additional week until outpatient follow up and catheter removal. DISCUSSION As evidence for surgical management of bladder trauma continues to grow, clinical practice guidelines have been developed for trauma surgeons. Recent recommendations from the Eastern Association for the Surgery of Trauma appraise the evidence for cystography in the perioperative setting. Postoperative care is focused on preventing catheter-associated urinary tract infections in patients recovering from urotrauma in the critical care setting. CONCLUSION We present a case of intraperitoneal bladder rupture in the setting of a blunt traumatic seatbelt injury. Our patient recovered uneventfully after surgical repair, a three-day hospitalization, and ten days with an indwelling bladder catheter.
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Affiliation(s)
- Adel Elkbuli
- Department of Surgery, Kendall Regional Medical Center, Miami, FL, United States.
| | - John D Ehrhardt
- Department of Surgery, Kendall Regional Medical Center, Miami, FL, United States
| | - Shaikh Hai
- Department of Surgery, Kendall Regional Medical Center, Miami, FL, United States
| | - Mark McKenney
- Department of Surgery, Kendall Regional Medical Center, Miami, FL, United States; University of South Florida, Tampa, FL, United States
| | - Dessy Boneva
- Department of Surgery, Kendall Regional Medical Center, Miami, FL, United States; University of South Florida, Tampa, FL, United States
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Trauma research: Trials and tribulations of a triceratops. J Trauma Acute Care Surg 2018; 85:841-850. [PMID: 30359335 DOI: 10.1097/ta.0000000000002054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Chung JH, Kim KS, Choi HY, Moon HS, Kim YT, Park SY, Oh CY, Lee KS, Kim TH, Lee SW. The Safety and Feasibility of the Single-Port Laparoscopic Repair of Intraperitoneal Bladder Rupture. J Endourol 2018; 32:403-409. [PMID: 29382226 DOI: 10.1089/end.2017.0733] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE To evaluate the efficacy and safety of laparoendoscopic single-site surgery (LESS) in the repair of intraperitoneal bladder rupture. PATIENTS AND METHODS All consecutive patients who underwent LESS for intraperitoneal bladder rupture in three hospitals in Korea were included prospectively in this study. LESS was performed using a homemade single-port device composed of an Alexis wound retractor and a surgical glove. RESULTS Of the 22 patients, 18 were male. The mean age was 40.50 ± 11.83 years. The mean body mass index was 24.19 ± 2.61 kg/m2. The cause of rupture was trauma (n = 21) or iatrogenic injury (n = 1). The mean bladder rupture diameter was 3.41 ± 1.01 cm. LESS bladder rupture repair was completed effectively in all patients. The mean operative time was 89.05 ± 11.29 minutes. The mean length of hospital stay was 2.91 ± 0.53 days. Postoperatively, none of the patients required patient-controlled analgesia, and none developed major complications. The urethral Foley catheter was removed 7.68 ± 2.08 days after surgery. CONCLUSIONS LESS repair of intraperitoneal bladder rupture, which involves a homemade single-port device, was a feasible and safe alternative to conventional laparoscopy in this case series.
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Affiliation(s)
- Jae Hoon Chung
- 1 Department of Urology, College of Medicine, Hanyang University Hospital , Seoul, Korea
| | - Kyu Shik Kim
- 1 Department of Urology, College of Medicine, Hanyang University Hospital , Seoul, Korea
| | - Hong Yong Choi
- 1 Department of Urology, College of Medicine, Hanyang University Hospital , Seoul, Korea
| | - Hong Sang Moon
- 1 Department of Urology, College of Medicine, Hanyang University Hospital , Seoul, Korea
| | - Yong Tae Kim
- 1 Department of Urology, College of Medicine, Hanyang University Hospital , Seoul, Korea
| | - Sung Yul Park
- 1 Department of Urology, College of Medicine, Hanyang University Hospital , Seoul, Korea
| | - Cheol Young Oh
- 2 Department of Urology, College of Medicine, Hanlim University , Seoul, Korea
| | - Ki Soo Lee
- 3 Department of Urology, College of Medicine, Dong-A University , Busan, Korea
| | - Tae Hyo Kim
- 3 Department of Urology, College of Medicine, Dong-A University , Busan, Korea
| | - Seung Wook Lee
- 1 Department of Urology, College of Medicine, Hanyang University Hospital , Seoul, Korea
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Lucas JW, Chen A, Simhan J. The Role of Surgery in the Management of Complex Extraperitoneal Bladder Injury. CURRENT TRAUMA REPORTS 2017. [DOI: 10.1007/s40719-017-0107-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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8
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Thomas BW, Avery MJ, Sachdev G, Christmas AB, Sing RF. Laparoscopic Repair of a Traumatic Bladder Rupture. Am Surg 2017. [DOI: 10.1177/000313481708300901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Bradley W. Thomas
- Department of Surgery Carolinas Medical Center Charlotte, North Carolina
| | - Michael J. Avery
- Department of Surgery Carolinas Medical Center Charlotte, North Carolina
| | - Gaurav Sachdev
- Department of Surgery Carolinas Medical Center Charlotte, North Carolina
| | | | - Ronald F. Sing
- Department of Surgery Carolinas Medical Center Charlotte, North Carolina
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Crawford R, Oliver TRW, Abboudi H, Shah S. Spontaneous rupture of the bladder during vomiting. BMJ Case Rep 2017; 2017:bcr-2016-217914. [PMID: 28659363 DOI: 10.1136/bcr-2016-217914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
A 46-year-old woman with no urological history or comorbidities presented with an acute abdomen with haematuria after a spell of protracted vomiting. The initial cystogram was negative; however, CT imaging highly suggested an intraperitoneal bladder perforation, which was confirmed during laparotomy and subsequently repaired. Cystoscopic evaluation prior to laparotomy revealed no concurrent bladder pathology, and the ureteric orifices were intact. A cystogram 2 weeks after repair demonstrated no leaks, and her catheters were removed. She recovered well, with expectant postoperative pain and lower urinary tract symptoms settling on 3-month review. Spontaneous bladder rupture is a rare entity, with very few reports in the literature.
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Affiliation(s)
| | | | | | - Shahzad Shah
- West Hertfordshire Hospitals NHS Trust, Watford, UK
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Deshpande AV, Michail P, Gera P. Laparoscopic repair of intra-abdominal bladder perforation in preschool children. J Minim Access Surg 2016; 13:63-65. [PMID: 27143696 PMCID: PMC5206843 DOI: 10.4103/0972-9941.181762] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
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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Affiliation(s)
- Aniruddh V Deshpande
- Department of Paediatric Surgery, John Hunter Children's Hospital, Newcastle, Australia
| | - Peter Michail
- Department of Surgery, Westmead Hospital, Sydney, Australia
| | - Parshotam Gera
- Department of Paediatric Surgery, Princess Margaret Hospital for Children, Perth, Australia
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Urry RJ, Clarke DL, Bruce JL, Laing GL. The incidence, spectrum and outcomes of traumatic bladder injuries within the Pietermaritzburg Metropolitan Trauma Service. Injury 2016; 47:1057-63. [PMID: 26854075 DOI: 10.1016/j.injury.2016.01.020] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2015] [Revised: 01/02/2016] [Accepted: 01/15/2016] [Indexed: 02/02/2023]
Abstract
INTRODUCTION The purpose of this study is to provide a comprehensive overview of the incidence, spectrum and outcomes of traumatic bladder injury in Pietermaritzburg, South Africa, and to identify the current optimal investigation and management of patients with traumatic bladder injuries. METHODS The Pietermaritzburg Metropolitan Trauma Service (PMTS) trauma registry was interrogated retrospectively for all traumatic bladder injuries between 1 January 2012 and 31 October 2014. RESULTS Of 8129 patients treated by the PMTS over the study period, 58 patients (0.7% or 6.5 cases per 1,000,000 population per year) had bladder injuries, 65% caused by penetrating trauma and 35% by blunt trauma. The majority (60%) were intraperitoneal bladder ruptures (IBRs), followed by 22% extraperitoneal bladder ruptures (EBRs). There was a high rate of associated injury, with blunt trauma being associated with pelvic fracture and penetrating trauma being associated with rectum and small intestine injuries. The mortality rate was 5%. Most bladder injuries were diagnosed at surgery or by computed tomography (CT) scan. All IBRs were managed operatively, as well as 38% of EBRs; the remaining EBRs were managed by catheter drainage and observation. In the majority of operative repairs, the bladder was closed in two layers, and was drained with only a urethral catheter. Most patients (91%) were managed definitively by the surgeons on the trauma service. CONCLUSION Traumatic bladder rupture caused by blunt or penetrating trauma is rare and mortality is due to associated injuries. CT scan is the investigative modality of choice. In our environment IBR is more common than EBR and requires operative management. Most EBRs can be managed non-operatively, and then require routine follow-up cystography. Simple traumatic bladder injuries can be managed definitively by trauma surgeons. A dedicated urological surgeon should be consulted for complex injuries.
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Affiliation(s)
- R J Urry
- Department of Urology, Greys Hospital, Pietermaritzburg, South Africa; School of Clinical Medicine, University of KwaZulu-Natal, Nelson R Mandela School of Medicine, South Africa.
| | - D L Clarke
- Pietermaritzburg Metropolitan Trauma Service, Pietermaritzburg Metropolitan Hospitals Complex, Pietermaritzburg, South Africa; School of Clinical Medicine, University of KwaZulu-Natal, Nelson R Mandela School of Medicine, South Africa
| | - J L Bruce
- Pietermaritzburg Metropolitan Trauma Service, Pietermaritzburg Metropolitan Hospitals Complex, Pietermaritzburg, South Africa; School of Clinical Medicine, University of KwaZulu-Natal, Nelson R Mandela School of Medicine, South Africa
| | - G L Laing
- Pietermaritzburg Metropolitan Trauma Service, Pietermaritzburg Metropolitan Hospitals Complex, Pietermaritzburg, South Africa; School of Clinical Medicine, University of KwaZulu-Natal, Nelson R Mandela School of Medicine, South Africa
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12
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Abstract
Lower genitourinary tract trauma comprises a substantial portion of the trauma burden in the USA. Some key trends and findings are described. Mortality is relatively high in patients with bladder trauma due to associated injuries. Urethral injuries should be suspected in patients presenting with the triad of blood at the urethral meatus, suprapubic fullness indicative of a full bladder, and urinary retention. Urethral injury is common in penetrating penile trauma, and stab wounds to the penis are more likely to involve the urethra than gunshot wounds. Penile fracture is largely a clinical diagnosis and suspicion of fracture requires urgent surgical exploration. Zipper injuries are the most common cause of presentation to the emergency department for penile trauma in adults. Toilet seat injuries are the leading cause of penile pediatric trauma presenting to the emergency department. In the setting of testicular trauma, rates of testicular salvage are excellent when exploration is prompt. Trauma in the form of animal or human bites requires treatment with broad-spectrum antibiotics in addition to repair of the injury. Military trauma has seen an increase in explosive injuries to the lower urinary tracts due to evolution of warfare tactics. Increasing awareness of presentation and context of lower genitourinary tract trauma can reduce delay of diagnosis and morbidity associated with such injuries.
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Affiliation(s)
- David Bayne
- Department of Urology, University of California, San Francisco, CA, USA
| | - Uwais Zaid
- Department of Urology, University of California, San Francisco, CA, USA
| | - Amjad Alwaal
- Department of Urology, University of California, San Francisco, CA, USA
| | - Catherine Harris
- Department of Urology, University of California, San Francisco, CA, USA
| | - Jack McAninch
- Department of Urology, University of California, San Francisco, CA, USA
| | - Benjamin Breyer
- Department of Urology, University of California, San Francisco, CA, USA
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Abstract
We describe the epidemiology, diagnosis, and management of adult civilian penetrating trauma to the ureter, bladder, and urethra. Trauma is a significant source of death and morbidity. Genitourinary injuries are present in 10% of penetrating trauma cases. Prompt recognition and appropriate management of genitourinary injuries, which are often masked or overlooked due to concomitant injuries, is essential to minimize morbidity. Penetrating trauma most commonly results from gunshot wounds or stab wounds. Compared to blunt trauma, these typically require surgical exploration. An understanding of anatomy and a high index of suspicion are necessary for prompt recognition of genitourinary injuries.
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Minas V, Gul N, Aust T, Doyle M, Rowlands D. Urinary tract injuries in laparoscopic gynaecological surgery; prevention, recognition and management. ACTA ACUST UNITED AC 2014. [DOI: 10.1111/tog.12073] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Affiliation(s)
- Vasileios Minas
- ST7 Obstetrics and Gynaecology; Minimal Access Centre; Department of Obstetrics & Gynaecology; Wirral University Teaching Hospital; Arrowe Park Road Wirral Merseyside CH49 5PE UK
| | - Nahid Gul
- Minimal Access Centre; Department of Obstetrics & Gynaecology; Wirral University Teaching Hospital; Arrowe Park Road Wirral Merseyside CH49 5PE UK
| | - Thomas Aust
- Minimal Access Centre; Department of Obstetrics & Gynaecology; Wirral University Teaching Hospital; Arrowe Park Road Wirral Merseyside CH49 5PE UK
| | - Mark Doyle
- Minimal Access Centre; Department of Obstetrics & Gynaecology; Wirral University Teaching Hospital; Arrowe Park Road Wirral Merseyside CH49 5PE UK
| | - David Rowlands
- Minimal Access Centre; Department of Obstetrics & Gynaecology; Wirral University Teaching Hospital; Arrowe Park Road Wirral Merseyside CH49 5PE UK
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15
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Kang SC, Chen CC, Wang SY, Liao CH. Gasless Laparoscopic-assisted Repair for Traumatic Intraperitoneal Urinary Bladder Rupture. Am Surg 2013. [DOI: 10.1177/000313481307900306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Shih-Ching Kang
- Department of Traumatology and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University Taoyuan, Taiwan
| | - Chih-Chi Chen
- Department of Physical Medicine and Rehabilitation Chang Gung Memorial Hospital Chang Gung University Taoyuan, Taiwan
| | - Shang-Yu Wang
- Department of Traumatology and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University Taoyuan, Taiwan
| | - Chien-Hung Liao
- Department of Traumatology and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University Taoyuan, Taiwan
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16
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Kim B, Roberts M. Laparoscopic repair of traumatic intraperitoneal bladder rupture: Case report and review of the literature. Can Urol Assoc J 2013; 6:E270-3. [PMID: 23283102 DOI: 10.5489/cuaj.11237] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
We present a case of intraperitoneal bladder rupture in a 42-year-old man repaired by a laparoscopic approach. Details of the case and a description of the operative procedure are outlined. We also review the literature on laparoscopic repair of traumatic bladder rupture.
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Affiliation(s)
- Brian Kim
- University of Ottawa, Division of Urology, The Ottawa Hospital, Ottawa, ON
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18
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Abstract
The authors conclude that laparoscopic repair of traumatic intraperitoneal urinary bladder rupture is a practical alternative to conventional open repair. Laparoscopic repair of the traumatic intraperitoneal bladder rupture is a proven, safe, and effective technique in the appropriate setting. A 23-year-old male with traumatic intraperitoneal bladder rupture proven by cystogram after a motor vehicle collision was successfully repaired via a laparoscopic approach. We describe the technique in detail including 2-layer closure and follow-up care. A review of the literature using PubMed with the key words [laparoscopic repair bladder injury] AND [bladder trauma] was performed. We recommend the consideration of laparoscopic repair of the intraperitoneal bladder rupture in more trauma patients who meet criteria.
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Affiliation(s)
- Tiffany D Marchand
- Department of General Surgery, St. Elizabeth Health Center, Department of General Surgery, Youngstown, OH 44501, USA.
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19
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Tsai CH, Wang YC, Wu SC, Hsieh CH. Laparoscopic Repair of Extraperitoneal Urinary Bladder Rupture after Blunt Abdominal Trauma. Am Surg 2012. [DOI: 10.1177/000313481207800902] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Chia-Hung Tsai
- Department of Acute Care Surgery, Trauma and Emergency Center China Medical University Hospital China Medical University Taichung, Taiwan, R.O.C
| | - Yu-Chun Wang
- Department of Acute Care Surgery, Trauma and Emergency Center China Medical University Hospital China Medical University Taichung, Taiwan, R.O.C. and School of Medicine China Medical University Taichung, Taiwan, R.O.C
| | - Shi-Chi Wu
- Department of Acute Care Surgery, Trauma and Emergency Center China Medical University Hospital China Medical University Taichung, Taiwan, R.O.C. and School of Medicine China Medical University Taichung, Taiwan, R.O.C
| | - Chi-Hsun Hsieh
- Department of Acute Care Surgery, Trauma and Emergency Center China Medical University Hospital China Medical University Taichung, Taiwan, R.O.C. and School of Medicine China Medical University Taichung, Taiwan, R.O.C
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20
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Dorairaj J, Sagili H, Rani R, Nanjundan P, Rajendran J, Ananthakrishnan R. Delayed presentation of intraperitoneal bladder rupture following domestic violence in pregnancy. J Obstet Gynaecol Res 2012; 38:753-6. [PMID: 22413896 DOI: 10.1111/j.1447-0756.2011.01781.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Trauma during pregnancy can present a unique challenge because of care for the mother and the fetus. About 6-7% of all pregnant patients are exposed to some sort of trauma, especially during the third trimester, with 0.3-0.4% requiring hospitalization. Although mostly accidental, injuries are sometimes caused by intentional violence. There is no published report on bladder rupture following trauma in pregnancy. We report a case of bladder injury following abdominal trauma in a pregnant woman.
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Affiliation(s)
- Jayalakshmi Dorairaj
- Department of Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
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Abstract
PURPOSE OF REVIEW The field of urogenital trauma is undergoing constant improvement mainly due to better diagnostic tools, a shift toward standardized treatments and better trauma care. The purpose of this review is to summarize the most relevant studies published within the last 3 years on the subject. RECENT FINDINGS Computerized tomography grading of renal trauma is an excellent predictor of the need for surgery and the final renal outcome in these patients, as most patients can be treated conservatively. Computerized tomography cystography has become the standard for the diagnosis of bladder rupture in which the indications for surgical intervention may be changing. The most common urethral trauma is posterior urethral injury due to pelvic fracture. The best results in adults and children are achieved by urethroplasty. SUMMARY The diagnosis and treatment of genitourinary trauma is still evolving. The long-term sequels of these injuries may best be treated by urologists expert in urogenital reconstruction. In the future, tissue engineering may have an important place in the treatment of these patients.
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Jambet S, Facy O, Landreau P, Duperron C, Kretz B. Intraperitoneal rupture of the bladder after urinary catheterization. Clin Pract 2011; 1:e109. [PMID: 24765350 PMCID: PMC3981424 DOI: 10.4081/cp.2011.e109] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2011] [Revised: 10/21/2011] [Accepted: 10/24/2011] [Indexed: 12/02/2022] Open
Abstract
Intraperitoneal rupture of the bladder is a rare cause of peritonitis. Intraperitoneal rupture of the bladder was diagnosed during an emergency laparotomy for suspected mesenteric ischemia. The patient had undergone iterative urinary catheterization after a vascular bypass. The perforation was excised and sutured and the patient was catheterized for urinary rest for 15 days. Urinary catheterization is a possible cause of intraperitoneal rupture of the bladder.
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Affiliation(s)
| | | | | | | | - Benjamin Kretz
- Department of Vascular Surgery, University hospital, Dijon, France
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Wohlrab KJ, Sung VW, Rardin CR. Management of Laparoscopic Bladder Injuries. J Minim Invasive Gynecol 2011; 18:4-8. [DOI: 10.1016/j.jmig.2010.09.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2010] [Revised: 09/17/2010] [Accepted: 09/09/2010] [Indexed: 10/18/2022]
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