title: Serum biochemical changes after laparoscopy may be indicators of bladder injury.
abstract: We evaluated the serum renal biochemical profile as an indicator of unrecognized laparoscopic bladder injury in four women. The patients were seen 24 to 56 hours postoperatively with elevated serum creatinine and urea levels, and electrolyte changes compatible with acute renal dysfunction. The mechanism responsible for these biochemical changes appears to be extravasation and reabsorption of urine. Biochemical values returned to normal within 24 hours after bladder repair.
authors.affiliation: Department of Obstetrics and Gynecology, Western University of Ontario, St. Joseph's Health Care Centre, 268 Grosvenor Street, London, Ontario N6A 4V2, Canada.
authors.forename: G A
authors.initials: GA
authors.lastname: Vilos
authors.forename: J
authors.initials: J
authors.lastname: Haebe
authors.forename: T L
authors.initials: TL
authors.lastname: Crumley
authors.forename: M A
authors.initials: MA
authors.lastname: Maruncic
authors.forename: J H
authors.initials: JH
authors.lastname: King
authors.forename: J D
authors.initials: JD
authors.lastname: Denstedt
mesh_terms: D000328:Adult; D003404:Creatinine / Q000097:blood*; D005260:Female; D006801:Humans; D007677:Kidney Function Tests; D010535:Laparoscopy / Q000009:adverse effects*; D011184:Postoperative Period; D014508:Urea / Q000097:blood*; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery; D014947:Wounds and Injuries / Q000175:diagnosis
chemical_list: D014508:Urea; D003404:Creatinine