title: Bladder repair following iatrogenic cystotomy in irradiated small capacity bladders.
abstract: During laparotomy in a previously irradiated and operated pelvis, incidental cystotomies can occur and a tension-free, watertight, two- or three-layer closure of the bladder may be impossible. We herein report two cases of iatrogenic defects of the bladders in post-irradiated pelvises and compare the two different methods of bladder repair employed - an ileal augmentation segment used in the first case and bovine pericardial graft used in the second. Successful closures of the bladder defects were achieved in both cases. Native irradiated bowel and bovine pericardium can be useful substitutes in situations involving bladder defects in a previously irradiated pelvis. The advantages and disadvantages of the two approaches are also herein discussed.
authors.affiliation: Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Drive, Singapore 117597. lydiachee_100@hotmail.com.
authors.forename: J Y
authors.initials: JY
authors.lastname: Chee
authors.forename: P
authors.initials: P
authors.lastname: Durai
authors.forename: F M
authors.initials: FM
authors.lastname: Wu
authors.forename: H Y
authors.initials: HY
authors.lastname: Tiong
mesh_terms: D000368:Aged; D000818:Animals; D002417:Cattle; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007082:Ileum / Q000000981:diagnostic imaging / Q000601:surgery; D007422:Intestines / Q000000981:diagnostic imaging / Q000601:surgery; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000601:surgery; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D001743:Urinary Bladder / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery*; D013520:Urologic Surgical Procedures; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000532:radiotherapy
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