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J Endourol. 2018 May;32(5):403-409. doi: 10.1089/end.2017.0733. Epub 2018 Mar 2.

The Safety and Feasibility of the Single-Port Laparoscopic Repair of Intraperitoneal Bladder Rupture.

Author information

1
1 Department of Urology, College of Medicine, Hanyang University Hospital , Seoul, Korea.
2
2 Department of Urology, College of Medicine, Hanlim University , Seoul, Korea.
3
3 Department of Urology, College of Medicine, Dong-A University , Busan, Korea.

Abstract

OBJECTIVE:

To evaluate the efficacy and safety of laparoendoscopic single-site surgery (LESS) in the repair of intraperitoneal bladder rupture.

PATIENTS AND METHODS:

All consecutive patients who underwent LESS for intraperitoneal bladder rupture in three hospitals in Korea were included prospectively in this study. LESS was performed using a homemade single-port device composed of an Alexis wound retractor and a surgical glove.

RESULTS:

Of the 22 patients, 18 were male. The mean age was 40.50 ± 11.83 years. The mean body mass index was 24.19 ± 2.61 kg/m2. The cause of rupture was trauma (n = 21) or iatrogenic injury (n = 1). The mean bladder rupture diameter was 3.41 ± 1.01 cm. LESS bladder rupture repair was completed effectively in all patients. The mean operative time was 89.05 ± 11.29 minutes. The mean length of hospital stay was 2.91 ± 0.53 days. Postoperatively, none of the patients required patient-controlled analgesia, and none developed major complications. The urethral Foley catheter was removed 7.68 ± 2.08 days after surgery.

CONCLUSIONS:

LESS repair of intraperitoneal bladder rupture, which involves a homemade single-port device, was a feasible and safe alternative to conventional laparoscopy in this case series.

KEYWORDS:

laparoscopy; minimally invasive; rupture; surgical procedures; urinary bladder

PMID:
29382226
DOI:
10.1089/end.2017.0733

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