Nechiporenko A Z, Nechiporenko N A
Vopr Onkol. 1979;25(6):117-20.
The indications to putting in interrupted sutures on the urinary bladder after its resection for cancer are discussed. Based on the clinical observations, it is concluded that there cannot be any one-way approach to this problem. The bladder may be sutured, if the resection wound is located in the upper segment and anterior wall of the median segment of the vesicle in case of the unchanged detrusor vesicae and urethra, with low bacterial count of the vesical urine and providing for transurethral drainage of the vesicle by its drip irrigation. Interrupted sutures on the vesicle were used in 21 patients with favourable issues.
本文讨论了膀胱癌切除术后膀胱间断缝合的适应证。基于临床观察得出结论,对于这个问题不存在单一的解决方法。如果切除伤口位于膀胱中间段的上段和前壁,逼尿肌和尿道未改变,膀胱尿液细菌计数低,并通过膀胱滴注实现经尿道引流,则可以对膀胱进行缝合。21例患者采用了膀胱间断缝合,效果良好。