Laparoscopic repair in children with traumatic bladder perforation.
Here, we report two patients with a traumatic intraperitoneal bladder dome rupture repaired by laparoscopic intracorporeal sutures. The first patient was a 3-year old boy was admitted with a history of road accident. He had a traumatic lesion on his lower abdomen and a pelvic fracture. Computed tomography (CT) scan revealed free intraabdominal fluid. The urethragram showed spreading contrast material into the abdominal cavity. Laparoscopic exploration revealed a 3-cm-length perforation at the top of the bladder. The injury was repaired in a two fold fashion. Post-operative follow-up was uneventful. The second case was a 3-year-old boy fell from the second floor of his house on the ground. He had traumatic lesion on his lower abdomen and a pelvic fracture. Due to bloody urine drainage, a cystography was performed and an extravasation from the dome of the bladder into the peritoneum was detected. On laparoscopy, a 3-cm long vertical perforation at the dome of the bladder was found. The perforation was repaired in two layers with intracorporeal suture technique. The post-operative course was uneventful. Laparoscopic repair of traumatic perforation of the bladder dome is a safe, effective and minimally invasive method. The cosmetic outcome is superior.
Department of Pediatric Surgery, Sisli Etfal Education and Research Hospital, Istanbul, Turkey.
Cetin Ali
CA
Karadag
Department of Pediatric Surgery, Ondokuz Mayis University, Samsun, Turkey.
Burak
B
Tander
Department of Pediatric Surgery, Sisli Etfal Education and Research Hospital, Istanbul, Turkey.
Basak
B
Erginel
Department of Pediatric Surgery, Ondokuz Mayis University, Samsun, Turkey.
Dilek
D
Demirel
Department of Pediatric Surgery, Ondokuz Mayis University, Samsun, Turkey.
Unal
U
Bicakci
Department of Pediatric Surgery, Ondokuz Mayis University, Samsun, Turkey.
Mithat
M
Gunaydin
Department of Pediatric Surgery, Sisli Etfal Education and Research Hospital, Istanbul, Turkey.
Nihat
N
Sever
Department of Pediatric Surgery, Ondokuz Mayis University, Samsun, Turkey.
Ferit
F
Bernay
Department of Pediatric Surgery, Sisli Etfal Education and Research Hospital, Istanbul, Turkey.
Ali Ihsan
AI
Dokucu