2007
DOI: 10.1590/s1677-55382007000300011
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Laparoscopic treatment of traumatic intraperitoneal bladder rupture

Abstract: Traumatic intraperitoneal bladder rupture requires surgical suture and bladder drainage. In stable patients the laparoscopic approach is the best short recovery and less traumatic treatment allowing visualization of the entire peritoneal cavity to exclude others lesions. We present one case of successful laparoscopic treatment of this entity.

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Cited by 6 publications
(8 citation statements)
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“…The traditional treatment has been a formal laparotomy with drainage of the intraperitoneal fluid, repair of the perforated area, exclusion of small bowel injury, and placement of intraperitoneal drains. As demonstrated in this case and by others,[24] an isolated intraperitoneal bladder injury can be easily repaired laparoscopically. Advantages over open repair are obvious, including less hospitalization and avoidance of the morbidity associated with open surgery.…”
Section: Discussionsupporting
confidence: 60%
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“…The traditional treatment has been a formal laparotomy with drainage of the intraperitoneal fluid, repair of the perforated area, exclusion of small bowel injury, and placement of intraperitoneal drains. As demonstrated in this case and by others,[24] an isolated intraperitoneal bladder injury can be easily repaired laparoscopically. Advantages over open repair are obvious, including less hospitalization and avoidance of the morbidity associated with open surgery.…”
Section: Discussionsupporting
confidence: 60%
“…Traditionally, intraperitoneal perforation has been managed with open surgical repair. Minimal invasive management such as percutaneous peritoneal drainage,[1] or laparoscopic repair of the bladder defect[24] have been described; however, there are no large series or long-term follow-up studies. Laparoscopic bladder repair was safely performed in an old patient as the following case illustrates.…”
Section: Introductionmentioning
confidence: 99%
“…It is highly desirable to recognize and to repair these injuries laparoscopically during the same procedure. 4,18,27 In the literature, the authors preferred a running one-layer 3-0 polyglactin suture and experienced good results. Our study is concordant with the literature in that the running 3-0 polyglactin sutures are effective below the maximal pressure of the human bladder during the filling phase.…”
Section: Discussionmentioning
confidence: 99%
“…Early diagnosis and laparoscopic treatment might decrease the high mortality rate associated with this uncommon but treatable condition (4). …”
Section: Discussionmentioning
confidence: 99%