Jarral Farhan, Hamdy Abdelrahman, Abusand Osama, Mobayen Rosa, Tokidis Evripidis
Urology, Doncaster Royal Infirmary, Doncaster, GBR.
General Surgery, Doncaster Royal Infirmary, Doncaster, GBR.
Cureus. 2024 Nov 19;16(11):e74057. doi: 10.7759/cureus.74057. eCollection 2024 Nov.
Suprapubic catheterisation (SPC) is a commonly performed urological procedure. Although it is generally safe, SPC-induced bowel injury is a rare but morbid complication. It is described in the literature, but management consensus is lacking. A scoping review was conducted assessing existing literature regarding the management of intestinal injury. The review highlighted that bowel perforation, particularly involving the small bowel and terminal ileum, is the commonest SPC-related bowel injury type. Depending on the severity of the injury and the patients' condition, various management strategies, ranging from exploratory laparotomy to less invasive techniques like laparoscopic intervention, are documented. Despite the introduction of preventive measures, such as ultrasound guidance, intestinal injury occurs. SPC-associated bowel injury is a serious but rare complication despite available preventative measures. Its management varies and depends on the part of the bowel injured and its severity. This review highlights reported management strategies specific to this injury and a literature summary to aid future quality improvement on the topic.
耻骨上膀胱造瘘术（SPC）是一种常见的泌尿外科手术。尽管该手术总体上是安全的，但SPC引起的肠道损伤是一种罕见但严重的并发症。文献中有相关描述，但缺乏管理共识。我们进行了一项范围综述，评估关于肠道损伤管理的现有文献。该综述强调，肠穿孔，尤其是累及小肠和回肠末端的穿孔，是最常见的与SPC相关的肠道损伤类型。根据损伤的严重程度和患者的状况，记录了从剖腹探查术到腹腔镜干预等侵入性较小技术的各种管理策略。尽管采取了诸如超声引导等预防措施，但仍会发生肠道损伤。尽管有可用的预防措施，SPC相关的肠道损伤仍是一种严重但罕见的并发症。其管理方式各异，取决于受损肠道的部位及其严重程度。本综述重点介绍了针对该损伤报道的管理策略以及文献总结，以帮助未来在该主题上提高质量。
