scholarly journals Features of the installation of a suprapubic cystostomy for laparoscopic treatment of patients with intraperitoneal bladder rupture

2021 ◽  
Vol 11 (1) ◽  
pp. 33-38
Author(s):  
Gocha S. Shanava ◽  
Igor V. Soroka ◽  
Michail S. Mosoyan
Keyword(s):  
Abdominal Cavity ◽  
Prostate Gland ◽  
Urethral Catheter ◽  
Bladder Rupture ◽  
Laparoscopic Treatment ◽  
The Third ◽  
Intraperitoneal Rupture ◽  
Bladder Trauma ◽  
Intraperitoneal Bladder Rupture ◽  
Rupture Of The Bladder

INTRODUCTION: In closed intraperitoneal bladder trauma, an alternative to laparotomy is laparoscopy. The rupture is closed with endoscopic sutures, and the bladder is drained with a urethral catheter. In the literature, the issue of the placement of a trocar cystostomy during laparoscopic treatment of patients with intraperitoneal bladder ruptures requiring prolonged drainage is insufficiently covered. PURPOSE OF THE STUDY: Determination of the optimal trocar cystostomy method during laparoscopic treatment of intraperitoneal bladder rupture. MATERIALS AND METHODS: Trocar cystostomy was performed in 8 patients with intraperitoneal bladder ruptures, among whom 7 had concomitant diseases of the prostate gland, and 1 had urethral stricture. Trocar cystostomy during laparoscopic surgery was performed in three different ways. Results. In the first method, the rupture of the bladder was initially sutured. Then, through the urethral catheter, the bladder was filled with saline. A trocar cystostomy was inserted through the suprapubic region. The second method consisted in the installation of a trocar cystostomy under the control of a laparoscope even before the suturing of the bladder rupture. In the third method proposed by us (patent No. 2592023), a Foley-type catheter with a balloon capacity of at least 200 ml was inserted into the abdominal cavity through the laparoscopic port. A catheter was inserted from the abdomen through an intraperitoneal rupture into the bladder. Inside the bladder, the catheter balloon was filled with saline. Then, through the suprapubic region, the anterior abdominal wall, the bladder and the inflated balloon of the catheter were pierced layer by layer with a trocar. Another catheter was inserted through the trocar into the bladder. After removal of the catheter with a ruptured balloon, the intraperitoneal rupture of the bladder was sutured. FINDINGS: According to the results of the study, the third method of inserting a trocar cystostomy turned out to be the most optimal and safe.

scholarly journals Comparison of surgical treatment of bladder rupture

2020 ◽  
Vol 13 (5) ◽  
pp. 86-90
Author(s):  
M.N. Isakov ◽  
◽  
T.G. Mikhaylikov ◽  
P.A. Yartsev ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Urethral Catheter ◽  
Small Sample ◽  
Bladder Rupture ◽  
Bladder Injury ◽  
Laparoscopic Suturing ◽  
Intraperitoneal Rupture ◽  
Group A ◽  
Group B ◽  
Rupture Of The Bladder

Introduction. Еven though open bladder suturing is a traditional method of surgical treatment of intraperitoneal rupture of the bladder, laparoscopic bladder suturing is a prospective method for treating such injuries. Materials and methods. In N.V. Sklifosovsky Research Institute of Emergency Care during the period from January 2016 to April 2020, 22 patients with bladder injury were treated. 15 of them had an intraperitoneal rupture, 5 had an extraperitoneal rupture, and 2 had a bladder rupture. Among the affected men there were 15 (68%), women - 7 (32%), the average age of patients was 42 ± 18 years. The clinical picture was dominated by gross hematuria and pain in the lower abdomen. All patients underwent ultrasound examination (US) according to the FAST protocol, and cystography was performed in some patients. Results. 20 (91%) patients were operated and 2 (9%), with extraperitoneal rupture of the bladder, were drained by urethral catheters. Patients were divided by the method of surgical treatment into 2 groups. In the 1st group, 2 (10%) patients underwent laparoscopic suturing of the bladder with drainage of the bladder with a urethral catheter. 18 (90%) patients of the 2nd group underwent laparotomy with suturing of the bladder. Depending on the method of bladder drainage, patients were divided into the cystostomy group (group A) and the urethral catheter group (group B). Group A - 16 (73%) patients who underwent laparotomy, suturing a rupture or ruptures of the bladder, epicystostomy, drainage of the abdominal cavity and lower pelvis. Group B-4 (18%) patients after laparotomy, laparoscopy, as well as patients who underwent conservative therapy with the installation of an urethral catheter – 2 (9%). Discussion. In the world literature, there are few scientific articles on the laparoscopic method of treating bladder injury, and the presented works are based on a small sample of patients. But, despite this, the method seems to be a promising and effective method for treatment and can be used in patients with intraperitoneal rupture of the bladder with stable hemodynamics, without life-threatening concomitant injuries. Conclusion. Тhe use of open or laparoscopic suturing of the bladder without epicycostomy significantly reduces the hospital stay and allows to restore natural urination on average 7 days after surgery. Laparoscopic suturing of the bladder is an effective and alternative treatment for bladder rupture.

scholarly journals Post Circumcision Intraperitoneal Rupture of the Urinary Bladder: A Rare Complication

2020 ◽  
Vol 08 (01) ◽  
pp. e14-e17
Author(s):  
Sherif Abdelmaksoud ◽  
Mohammed Albishbishy ◽  
Mostafa Elayyouti ◽  
Mohamed Zohiri ◽  
Adham Elsaied
Keyword(s):  
Urinary Bladder ◽  
Rare Case ◽  
Rare Complication ◽  
Bladder Wall ◽  
Abdominal Distension ◽  
Bladder Rupture ◽  
Postoperative Course ◽  
Intraperitoneal Rupture ◽  
The World ◽  
Intraperitoneal Bladder Rupture

AbstractCircumcision is one of the most common pediatric surgical procedures performed all over the world and especially in Arab and Islamic countries. Many complications have been documented following this maneuver. We report on a rare case of intraperitoneal bladder rupture in a 7-day-old baby who was circumcised on his second day using the guillotine method. He presented to us with gangrene of the tip of the penis and a failure to void urine associated with progressive abdominal distension. Ultrasound revealed severe ascites. Aspiration and analysis confirmed the fluid to be urine. Ascending cystourethrogram was performed revealing a perforation of the posterior bladder wall near the trigone. Exploration was performed and repair done. Postoperative course was uneventful.

scholarly journals Posttraumatic Haematuria with Pseudorenal Failure: A Diagnostic Lead for Intraperitoneal Bladder Rupture

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Ketan Vagholkar ◽  
Suvarna Vagholkar
Keyword(s):  
Renal Failure ◽  
Abdominal Trauma ◽  
Surgical Repair ◽  
Optimal Treatment ◽  
Bladder Rupture ◽  
Open Surgical Repair ◽  
Intraperitoneal Rupture ◽  
Intraperitoneal Bladder Rupture ◽  
Prompt Diagnosis ◽  
Biochemical Features

Bladder rupture is a very morbid injury following blunt or penetrating lower abdominal trauma. Prompt diagnosis is crucial to initiate optimal treatment. Intraperitoneal bladder rupture is associated with haematuria and biochemical features of renal failure. Cystogram is diagnostic. Immediate open surgical repair is the main stay of treatment. A case of intraperitoneal rupture diagnosed preoperatively by the presence of haematuria and pseudorenal failure is presented to highlight the association of posttraumatic haematuria and pseudorenal failure in such injuries.

scholarly journals Delayed Presentation of Traumatic Intraperitoneal Rupture of Urinary Bladder

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Hazim H. Alhamzawi ◽  
Husham M. Abdelrahman ◽  
Khalid M. Abdelrahman ◽  
Ayman El-Menyar ◽  
Hassan Al-Thani ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Young Male ◽  
Rare Condition ◽  
Bladder Rupture ◽  
Bladder Injury ◽  
Blunt Injury ◽  
Delayed Presentation ◽  
Post Injury ◽  
Intraperitoneal Rupture ◽  
Intraperitoneal Bladder Rupture

Blunt injury of the urinary bladder is well known and usually associates pelvic fractures. Isolated bladder injury is a rare condition and on the other hand, delayed bladder perforation is an extremely rare entity. Herein, we described an unusual case of isolated delayed intraperitoneal bladder rupture that occurred on the third post injury day in a young male in the absence of free intraperitoneal fluid and pelvic fracture. The diagnostic workup, course and the need for surgical repair of the injury is presented.

scholarly journals An uncommon case of intraperitoneal urinary bladder rupture in an adult with pelvic bone fracture

2018 ◽  
Vol 5 (3) ◽  
pp. 1133
Author(s):  
Rekha Gupta ◽  
Vivek J.
Keyword(s):  
Urinary Bladder ◽  
Adult Patient ◽  
Bone Fracture ◽  
Bladder Rupture ◽  
Pelvic Bone ◽  
Intraperitoneal Rupture ◽  
Iatrogenic Trauma ◽  
Intraperitoneal Bladder Rupture ◽  
Uncommon Case ◽  
High Degree

Injury of urinary bladder can occur due to blunt, penetrating, or iatrogenic trauma. Here, author present an uncommon case of Intraperitoneal bladder rupture in an adult patient with associated pelvic bone fracture. Following a fall from his house, a 40 years old male patient presented with haematuria and abdominal pain. CT scan of abdomen revealed Intraperitoneal bladder rupture with pelvic bone fracture. Intraoperative findings revealed intraperitoneal rupture of bladder with a defect in dome region. It was repaired with Vicryl 2-0 suture. So, a high degree of suspicion of intraperitoneal bladder rupture should be kept in mind even though it has associated pelvic bone fracture in an adult patient.

scholarly journals Isolated intraperitoneal rupture of the urinary bladder following blunt trauma abdomen

2017 ◽  
Vol 4 (5) ◽  
pp. 1822 ◽  
Author(s):  
Praveen Kumar Arumugam
Keyword(s):  
Blunt Trauma ◽  
Pelvic Fractures ◽  
Organ Injury ◽  
Bladder Rupture ◽  
Emergency Laparotomy ◽  
Solid Organ ◽  
Bladder Dome ◽  
Intraperitoneal Rupture ◽  
Intraperitoneal Bladder Rupture ◽  
Ct Cystography

Bladder injuries occur due to blunt, penetrating or iatrogenic trauma. The ones that occur following blunt trauma are commonly associated with pelvic fractures and can range from contusions to bladder rupture. Extraperitoneal ruptures occur more commonly than intraperitoneal ruptures. Here we present an uncommon case of intraperitoneal bladder rupture without any bony or solid organ injury. Following a fall from his motorbike a 42-year-old gentleman presented to us with abdominal pain, inability to pass urine with features of peritonism. CT cystography showed contrast leak into the peritoneal cavity. No other injuries were detected. The patient was taken up for emergency laparotomy and a full thickness rent in the bladder dome, 7 cm in length was found which was repaired in two layers with a supra pubic catheter. The patient improved post operatively and was discharged on the 3rd post-operative day. Intraperitoneal bladder ruptures are possible even without pelvic fractures and can be missed on routine imaging of the abdomen. A high degree of suspicion with appropriate imaging (CT cystography) is necessary in all such cases to ensure timely diagnosis and intervention.

scholarly journals Laparoscopic treatment of traumatic intraperitoneal bladder rupture

2007 ◽  
Vol 33 (3) ◽  
pp. 380-382 ◽  
Author(s):  
Andre A. Figueiredo ◽  
Jose G. T. Tostes ◽  
Miguel V. M. Jacob
Keyword(s):  
Bladder Rupture ◽  
Laparoscopic Treatment ◽  
Intraperitoneal Bladder Rupture

scholarly journals Conservative management of delayed presentation of intraperitoneal bladder rupture following caesarean delivery: A case report

2019 ◽  
Vol 59 ◽  
pp. 31-34 ◽  
Author(s):  
Ismaeel Aghaways ◽  
Rawa Bapir ◽  
Tahir A. Hawrami ◽  
Nishtman M. Thahir ◽  
Mohammed Abed Al Kadum Hassan ◽  
...  
Keyword(s):  
Case Report ◽  
Conservative Management ◽  
Caesarean Delivery ◽  
Bladder Rupture ◽  
Delayed Presentation ◽  
Intraperitoneal Bladder Rupture

Intraperitoneal Urinary Bladder Rupture as a Cause of Pneumoperitoneum

2021 ◽  
pp. 000313482110257
Author(s):  
Dar Parvez M ◽  
Kour Supreet ◽  
Sharma Ajay ◽  
Kumar Subodh
Keyword(s):  
Urinary Bladder ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
Pelvic Trauma ◽  
Bladder Rupture ◽  
Abdominal Pressure ◽  
Trauma Patients ◽  
Hollow Viscus ◽  
Sudden Rise ◽  
Intraperitoneal Bladder Rupture

The most common cause of pneumoperitoneum in trauma patients is hollow viscus injury; however, in patients with pneumoperitoneum on imaging and normal hollow viscus during the laparotomy, other rare causes of pneumoperitoneum like intraperitoneal urinary bladder rupture should be ruled out. Urinary bladder can rupture either extraperitoneally or intraperitoneally or both. Rupture of the urinary bladder is commonly seen in patients with abdominal trauma; however, pneumoperitoneum is usually not seen in patients with traumatic bladder rupture. Intraperitoneal bladder rupture is usually due to the sudden rise in intra-abdominal pressure following abdominal or pelvic trauma. However, it is a rare cause of pneumoperitoneum and is managed by surgical repair. We present a case of blunt trauma abdomen with pneumoperitoneum due to isolated intraperitoneal bladder rupture who was managed by exploratory laparotomy and primary repair of the urinary bladder.

Videodiagnosis of External Urinary Meatus Obstruction and Persistent Urachus in Heifer

2017 ◽  
Vol 45 ◽  
pp. 4
Author(s):  
Luisa Pucci Buenos Borges ◽  
Vitor Foroni Casas ◽  
Lucas De Freitas Pereira ◽  
Leandro Zuccolotto Crivellenti ◽  
Larissa Fernandes Magalhães ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Bladder Rupture ◽  
Complete Obstruction ◽  
Flexible Cystoscope ◽  
Abdominal Palpation ◽  
Persistent Urachus ◽  
And Performance ◽  
Veterinary Hospital ◽  
Extensive Necrosis ◽  
Bladder Evaluation

Background: Persistent urachus conditions in calves are related to umbilical pathologies and might lead to uroperitoneum abnormalities, especially persistent urachus itself and bladder rupture. Videosurgery could be an interesting option for diagnoses of the genitourinary tract, given the relevance of genitourinary affections in calves. The aim of this report is to describe videosurgery resolution and performance in a case of external urinary meatus obstruction and persistent urachus in a heifer.Case: An eight-month-old Girolando heifer was admitted in the UNIFRAN Veterinary Hospital with the suspicion of persistent urachus. The owner reported that the animal was not urinating, and after a few days, it was noticed the presence of urine leaking from the umbilical site. It was also informed that another veterinarian had previously performed pure iodine infusion in probable urachus area for 5 days in a row in an attempt to obliterate the canal. Significant higher levels of urea, creatinine and fibrinogen were noticed in the exams executed, also leukocytosis and signs of pain when performed abdominal palpation. When urethral sounding was implemented, it showed difficulties and resistance in the introduction of the sound. In the vaginourethrocystoscopy, it was noticed a thin membrane in the external urinary meatus causing complete obstruction, which was easily perforated by the cystoscope sheath, allowing the attainment of urethra and part of cranial bladder inspection. In order to evaluate the flow of the urine, it was applied methylene blue by the cystoscope working channel in the interior of the urethra and the bladder, which was collected by sounding the urachus, confirming presence of persistent urachus. When realized a contrasted x-ray of the bladder, it was noticed extravasation of the contrast into the peritoneum, indicating that a surgical approach should be performed; however the owner did not authorize the realization of any surgical intervention. Antibiotic therapy with cefitiofur (1 mg/kg) and anti-inflammatory therapy with flunixim meglumine (1.1 mg/kg) were initiated, however the patient died after 24 h of therapy. Persistent urachus was confirmed at necropsy, showing malodorous brownish secretion in the umbilicus area. Also, it was observed 2 L of turbid purulent liquid in abdominal cavity, which was filled with fibrin; petechiae in the intestinal serosa; focus of necrosis and bladder rupture concluding that the cause of death was given by rupture of the urinary bladder followed by peritonitis.Discussion: The diagnosis through vaginourethrocystoscopy was important to verify the urethral obstruction. However it was not able to visualize the necrosis area in cranial portion of the bladder due to the size of cystoscope, which was too short and rigid. Video diagnosis was an efficient method for urethral abnormalities and, if necessary a complete bladder evaluation, flexible cystoscope should be used. Urethrocystography is a good option for diagnosis of uroabdomen in heifer and should be performed as a supplementary technique of video diagnosis when injury or rupture of cranial bladder is suspected. Caustic products such as iodinated compounds must not be used if urethra is obstructed, because it can cause extensive necrosis in cranial bladder, uroperitoneum and sepsis, which may lead the patient to death.

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