腹腔镜手术期间未被识别的膀胱穿孔。

Unrecognized bladder perforation during operative laparoscopy.

作者信息

Lamaro V P, Broome J D, Vancaillie T G

机构信息

Department of Endo-Gynaecology, Royal Hospital for Women, Barker Street, Randwick, NSW, Australia.

出版信息

J Am Assoc Gynecol Laparosc. 2000 Aug;7(3):417-9. doi: 10.1016/s1074-3804(05)60490-2.

DOI:10.1016/s1074-3804(05)60490-2

PMID:10924641

Abstract

During operative laparoscopy in a 42-year-old woman, 12-mm trocar lacerations occurred through anterior and posterior walls of the bladder but were not recognized. This case demonstrates important issues related to predicting, avoiding, detecting, and treating bladder trauma associated with laparoscopic surgery. It also indicates that some classic warning signs of accidental cystotomy may be absent or delayed in appearance.

摘要

在对一名42岁女性进行腹腔镜手术期间，膀胱前后壁出现了12毫米的套管针撕裂伤，但当时未被发现。该病例展示了与预测、避免、检测和治疗腹腔镜手术相关膀胱创伤有关的重要问题。它还表明，意外膀胱切开术的一些典型警示信号可能不存在或出现延迟。