Edwards R B, Ducharme N G, Hackett R P
Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY.
Vet Surg. 1995 Jan-Feb;24(1):60-3. doi: 10.1111/j.1532-950x.1995.tb01294.x.
Ruptured bladder was diagnosed in a 90-day-old Thoroughbred colt that had suffered a open, comminuted tibial fracture 2 days earlier. The bladder rupture was identified by laparoscopic examination of the abdomen and was repaired using a laparoscopic stapling instrument. This technique provided good visualization and allowed repair of the rupture with minimal intervention. Ten months after surgery, the foal was admitted to a referral surgical practice because of colic and stanguria. A urinary calculus was removed from the penile urethra by urethrotomy. Laparoscopic repair of the bladder with nonabsorbable staples may be contraindicated because of possible urolith formation.
一匹90日龄的纯种马驹在两天前发生开放性、粉碎性胫骨骨折，随后被诊断出膀胱破裂。通过腹腔镜检查腹部确定了膀胱破裂，并使用腹腔镜吻合器械进行了修复。该技术提供了良好的视野，并允许在最小程度的干预下修复破裂处。术后十个月，这匹小马驹因腹痛和排尿困难被转诊至一家外科诊所。通过尿道切开术从阴茎尿道取出了一枚尿路结石。由于可能形成尿路结石，使用不可吸收吻合钉进行腹腔镜膀胱修复可能是禁忌的。
