Abstract
We report a case of bladder perforation during laparoscopic gynaecological surgery that was detected intraoperatively by gaseous distention of the urinary bag. The anaesthetist can help detect intraoperative laparoscopic bladder injury by checking the bladder catheter collection bag for gaseous distension. In this clinical report, gaseous distention of the urinary bag was the only indication of intraoperative laparoscopic bladder injury and resulted in immediate intervention and surgical repair. Intraoperative bladder injury repair will result in decreased surgical morbidity, and if performed laparoscopically may result in decreased hospital stay.
Résumé
Nous rapportons une perforation vésicale survenue pendant une laparoscopie gynécologique et décelée par la distension gazeuse du sac de collecte urinaire. L’anesthésiste peut aider à déceler la lésion de la vessie en vérifiant si le sac de collecte urinaire est distendu par du gaz. Dans l’observation actuelle, la distension a été le seul indice d’une lésion vésicale peropératoire qui a été réparée immédiatement. La réparation d’une lésion vésicale pendant l’intervention réduit la morbidité et sa réalisation par laparoscopie diminue la durée du séjour hospitalier.
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Classi, R., Sloan, P.A. Intraoperative detection of laparoscopic bladder injury. Can J Anaesth 42, 415–416 (1995). https://doi.org/10.1007/BF03015488
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DOI: https://doi.org/10.1007/BF03015488