title: Bladder perforation during laparoscopic donor nephrectomy.
abstract: We present two cases of bladder perforation during laparoscopic donor nephrectomy at our institution. Neither of the surgeries was otherwise complicated, and the diagnoses were made post-operatively. The kidneys were extracted through a Pfannenstiel incision and used blunt dissection to penetrate the peritoneum. Both patients had previous tubal ligations, adhesions from which may have increased the chance of injury. We believe that this is a previously unreported complication that merits attention. Care should be taken with the peritoneal incision and dissection as the bladder may be susceptible to injury.
authors.affiliation: Department of Urology, Dalhousie University, Halifax, Nova Scotia, Canada.
authors.forename: P D
authors.initials: PD
authors.lastname: Metcalfe
authors.forename: L
authors.initials: L
authors.lastname: Hickey
authors.forename: J G
authors.initials: JG
authors.lastname: Lawen
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D014019:Tissue Donors; D001743:Urinary Bladder / Q000293:injuries*