Roos Rouxzanne, Makhadi Shumani
Sefako Makgatho University Medical School, George Mukhari Academic Hospital, South Africa.
Dr George Mukhari Academic Hospital, South Africa.
Int J Surg Case Rep. 2021 May;82:105901. doi: 10.1016/j.ijscr.2021.105901. Epub 2021 Apr 27.
Intraperitoneal bladder rupture requires surgical repair (1). Historically these injuries were treated via laparotomy and open repair (1). There are only a few case reports of laparoscopic bladder repair reported in the literature. Our case adds to an already existing body of limited data especially with such an unusual presentation. With all the advantages minimally invasive surgery offer and the simplicity of the procedure, we recommend laparoscopic repair of isolated intraperitoneal bladder rupture in all trauma patients who are haemodynamic stable.
This was a case of a twenty-three-year-old female who had underwent successful laparoscopic repair following an intraperitoneal bladder rupture secondary to blunt abdominal trauma.
Technological advancements in laparoscopic surgery and increase in surgeon experience have contributed to the change in approach to patients with traumatic intraperitoneal bladder rupture (1, 2). Previously, associated intra-abdominal injuries had precluded surgeons to pursue laparoscopic repair (1). Laparoscopic exploration has however proven to be safe, effective, and feasible with decreased post-operative pain and wound sepsis, decreased length of stay and improved cosmetic outcome (1-3).
Laparoscopic repair of intra-peritoneal bladder injuries should be the approach of choice in an appropriate setting in the haemodynamically stable patient.
腹膜内膀胱破裂需要手术修复（1）。历史上，这些损伤通过剖腹术和开放修复进行治疗（1）。文献中仅有少数腹腔镜膀胱修复的病例报告。我们的病例增加了已有的有限数据，尤其是这种不寻常的表现。鉴于微创手术的所有优势以及手术的简便性，我们建议对所有血流动力学稳定的创伤患者，采用腹腔镜修复孤立性腹膜内膀胱破裂。
这是一名23岁女性的病例，她在因钝性腹部创伤导致腹膜内膀胱破裂后，成功接受了腹腔镜修复手术。
腹腔镜手术的技术进步和外科医生经验的增加，促成了对创伤性腹膜内膀胱破裂患者治疗方法的改变（1,2）。以前，相关的腹腔内损伤使外科医生无法进行腹腔镜修复（1）。然而，腹腔镜探查已被证明是安全、有效且可行的，术后疼痛和伤口感染减少，住院时间缩短，美容效果改善（1 - 3）。
在血流动力学稳定的患者中，在适当的情况下，腹腔镜修复腹膜内膀胱损伤应作为首选方法。
