PTU - Polskie Towarzystwo Urologiczne
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Laparoscopic treatment of posttraumatic vesicoperitoneal fistula
Article published in Urologia Polska 2006/59/1.

authors

Cezary Zydek 1, Leszek Kutwin 2, Eugeniusz Miękoś 1
1 I Klinika Urologii Uniwersytetu Medycznego w Łodzi
2 Klinika Chirurgii Ogólnej i Torakochirurgii Uniwersytetu Medycznego w Łodzi

keywords

urinary bladder, fistula, laparoscopy

summary

Introduction and the aim of the study. One of the complications of the urinary bladder injuries are urinary bladder fistulas. A classical procedure for a vesicoperitoneal fistula is its open surgical closure. The authors used laparoscopic procedure for this purpose.
Material and method. The authors presented a case of a posttraumatic vesicoperitoneal fistula in a patient presenting recurrent signs and symptoms of an acute abdomen after multiorgan injury caused by a traffic accident. A urinary bladder wall rupture was primarily treated during an open operation and the fistula that appeared after the open surgery was closed by a laparoscopic procedure.
Results. A detailed description of the laparoscopic procedure was presented. The time of surgery was 60 minutes and the loss of blood was approximately 20 ml. No intraoperative and postoperative complications were observed. The time of hospitalisation was 7 days and the resumption of a full life activity had place after 12 days postoperatively.
Conclusion. A laparoscopic closure of a vesicoperitoneal fistula is a minimal-invasive and safe procedure that shortens the time of surgery and hospitalisation and enables quick resumption of a full life activity.

references

  1. 1. Parra RO: Laparoscopic repair of intraperitoneal bladder perforation. J Urol 1994, 151, 1003-1005.
  2. 2. Corriere JN, Sandler CM: Bladder rupture from external trauma: diagnosis and management. World J Urol 1999, 17, 84-89.
  3. 3. Iselin CE, Rohner S, Tuchschmid Y et al: Laparoscopic repair of traumatic intraperitoneal bladder rupture. Urol Int 1996, 57, 119-121.
  4. 4. Poffenberger RJ: Laparoscopic repair of intraperitoneal bladder injury: a simple new technique. Urology 1996, 47, 248-249.
  5. 5. Yin CS, Li YT, Chao TC et al: Laparoscopic loop ligatures for bladder repair during laparoscopic surgery. Int J Gynecol Obstet 1999, 66, 47-49.
  6. 6. Gołąb A, Łojewski M, Gliniewicz B, Sikorski A: Laparoskopia w leczeniu dootrzewnowej perforacji pęcherza moczowego. Urol Pol 2002, 55, 78-80.
  7. 7. Miękoś E: Chirurgia laparoskopowa w urologii. FAST Łodź 1997, 31-49.

correspondence

Cezary Zydek
Klinika Urologii
ul. Żeromskiego 113
90-549 ŁódŸź
tel. (042) 63 93 531