title: Complications of extraperitoneal balloon dilation.
abstract: The success of balloon dissection techniques has given laparoscopic surgeons the option of a direct extraperitoneal approach to urologic disease. Unfortunately, these techniques are not without risks. We report on four cases of complications secondary to balloon dilation. In two instances, balloon misplacement caused dissection between muscle layers. This resulted in conversion to an open procedure in one instance and to a postoperative flank hernia in another. Balloon rupture with loose fragments occurred in two patients. In one of these cases, the peritoneum was lacerated, with balloon fragments displaced within the peritoneal cavity.
authors.affiliation: Section of Urology, Medical College of Georgia, Augusta, USA.
authors.forename: J B
authors.initials: JB
authors.lastname: Adams
authors.forename: S
authors.initials: S
authors.lastname: Micali
authors.forename: R G
authors.initials: RG
authors.lastname: Moore
authors.forename: R K
authors.initials: RK
authors.lastname: Babayan
authors.forename: L R
authors.initials: LR
authors.lastname: Kavoussi
mesh_terms: D000328:Adult; D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D012187:Retroperitoneal Space; D012307:Risk Factors; D001743:Urinary Bladder / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000601:surgery