Lesión vesical iatrogénica: Experiencia de diez años, tratamiento y resultados entre 1999-2009, Kuala Lumpur, Malasia

Translated title of the contribution: Iatrogenic bladder injury: A single institution's ten-year experience in treatment and outcome 1999-2009, Kuala Lumpur, Malaysia

Chee Kong Christopher Ho, Hans Alexander, Praveen Singam, Lee Boon Cheok, Zulkifli Md. Zainuddin

Research output: Contribution to journalArticle

Abstract

Introduction: This case series is a retrospective review of iatrogenic bladder injuries treated at our institution Universiti Kebangsaan Malaysia, Medical Centre, over a ten-year period, from 1999 to 2009. Materials and methods: A retrospective review of the operating theater database yielded the names and registration numbers of patients who underwent operative repair of bladder injuries. Patients who sustained bladder injuries due to nonsurgical reasons (such as traumatic bladder injuries due to pelvic fractures, blunt trauma or penetrating injuries to the pelvis) were excluded. Results: There were 12 cases of iatrogenic bladder injury treated during this time. A total of eight injuries occurred during gynaecological surgery. Five injuries occurred during lower segment caesarean section, two injuries during total abdominal hysterectomy and bilateral salpingo-oopherectomy, and a single injury during Burch colposuspension. Four out of the five injuries during caesarian section had a history of previous caesarian section. Of the four remaining non-gynaecological related injuries, two injuries occurred during hernioplasty, one during exploration of an enterocutaneous fistula and the other was during laparoscopic appendicectomy. Conclusion: Iatrogenic bladder injury should be anticipated in patients undergoing caesarean section who have had multiple previous caesarean sections. Iatrogenic injuries should be identified intra-operatively to enable early repair and the best outcome. These injuries were adequately assessed by ascending cystography. Continuous repair with absorbable sutures together with perivesicle drainage and bladder catheterization produces good outcome.

Original languageSpanish
Pages (from-to)215-218
Number of pages4
JournalColombia Medica
Volume42
Issue number2
Publication statusPublished - Apr 2011

Fingerprint

Malaysia
Urinary Bladder
Wounds and Injuries
Cesarean Section
Intestinal Fistula
Gynecologic Surgical Procedures
Herniorrhaphy
Hysterectomy
Pelvis
Catheterization

Keywords

  • Bladder
  • Iatrogenic
  • Injury
  • Repair

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lesión vesical iatrogénica : Experiencia de diez años, tratamiento y resultados entre 1999-2009, Kuala Lumpur, Malasia. / Ho, Chee Kong Christopher; Alexander, Hans; Singam, Praveen; Cheok, Lee Boon; Md. Zainuddin, Zulkifli.

In: Colombia Medica, Vol. 42, No. 2, 04.2011, p. 215-218.

Research output: Contribution to journalArticle

Ho, Chee Kong Christopher ; Alexander, Hans ; Singam, Praveen ; Cheok, Lee Boon ; Md. Zainuddin, Zulkifli. / Lesión vesical iatrogénica : Experiencia de diez años, tratamiento y resultados entre 1999-2009, Kuala Lumpur, Malasia. In: Colombia Medica. 2011 ; Vol. 42, No. 2. pp. 215-218.
@article{fecf49ec9145433ca32b5c898425035d,
title = "Lesi{\'o}n vesical iatrog{\'e}nica: Experiencia de diez a{\~n}os, tratamiento y resultados entre 1999-2009, Kuala Lumpur, Malasia",
abstract = "Introduction: This case series is a retrospective review of iatrogenic bladder injuries treated at our institution Universiti Kebangsaan Malaysia, Medical Centre, over a ten-year period, from 1999 to 2009. Materials and methods: A retrospective review of the operating theater database yielded the names and registration numbers of patients who underwent operative repair of bladder injuries. Patients who sustained bladder injuries due to nonsurgical reasons (such as traumatic bladder injuries due to pelvic fractures, blunt trauma or penetrating injuries to the pelvis) were excluded. Results: There were 12 cases of iatrogenic bladder injury treated during this time. A total of eight injuries occurred during gynaecological surgery. Five injuries occurred during lower segment caesarean section, two injuries during total abdominal hysterectomy and bilateral salpingo-oopherectomy, and a single injury during Burch colposuspension. Four out of the five injuries during caesarian section had a history of previous caesarian section. Of the four remaining non-gynaecological related injuries, two injuries occurred during hernioplasty, one during exploration of an enterocutaneous fistula and the other was during laparoscopic appendicectomy. Conclusion: Iatrogenic bladder injury should be anticipated in patients undergoing caesarean section who have had multiple previous caesarean sections. Iatrogenic injuries should be identified intra-operatively to enable early repair and the best outcome. These injuries were adequately assessed by ascending cystography. Continuous repair with absorbable sutures together with perivesicle drainage and bladder catheterization produces good outcome.",
keywords = "Bladder, Iatrogenic, Injury, Repair",
author = "Ho, {Chee Kong Christopher} and Hans Alexander and Praveen Singam and Cheok, {Lee Boon} and {Md. Zainuddin}, Zulkifli",
year = "2011",
month = "4",
language = "Spanish",
volume = "42",
pages = "215--218",
journal = "Colombia Medica",
issn = "0120-8322",
publisher = "Facultad de Salud de la Universidad del Valle",
number = "2",

}

TY - JOUR

T1 - Lesión vesical iatrogénica

T2 - Experiencia de diez años, tratamiento y resultados entre 1999-2009, Kuala Lumpur, Malasia

AU - Ho, Chee Kong Christopher

AU - Alexander, Hans

AU - Singam, Praveen

AU - Cheok, Lee Boon

AU - Md. Zainuddin, Zulkifli

PY - 2011/4

Y1 - 2011/4

N2 - Introduction: This case series is a retrospective review of iatrogenic bladder injuries treated at our institution Universiti Kebangsaan Malaysia, Medical Centre, over a ten-year period, from 1999 to 2009. Materials and methods: A retrospective review of the operating theater database yielded the names and registration numbers of patients who underwent operative repair of bladder injuries. Patients who sustained bladder injuries due to nonsurgical reasons (such as traumatic bladder injuries due to pelvic fractures, blunt trauma or penetrating injuries to the pelvis) were excluded. Results: There were 12 cases of iatrogenic bladder injury treated during this time. A total of eight injuries occurred during gynaecological surgery. Five injuries occurred during lower segment caesarean section, two injuries during total abdominal hysterectomy and bilateral salpingo-oopherectomy, and a single injury during Burch colposuspension. Four out of the five injuries during caesarian section had a history of previous caesarian section. Of the four remaining non-gynaecological related injuries, two injuries occurred during hernioplasty, one during exploration of an enterocutaneous fistula and the other was during laparoscopic appendicectomy. Conclusion: Iatrogenic bladder injury should be anticipated in patients undergoing caesarean section who have had multiple previous caesarean sections. Iatrogenic injuries should be identified intra-operatively to enable early repair and the best outcome. These injuries were adequately assessed by ascending cystography. Continuous repair with absorbable sutures together with perivesicle drainage and bladder catheterization produces good outcome.

AB - Introduction: This case series is a retrospective review of iatrogenic bladder injuries treated at our institution Universiti Kebangsaan Malaysia, Medical Centre, over a ten-year period, from 1999 to 2009. Materials and methods: A retrospective review of the operating theater database yielded the names and registration numbers of patients who underwent operative repair of bladder injuries. Patients who sustained bladder injuries due to nonsurgical reasons (such as traumatic bladder injuries due to pelvic fractures, blunt trauma or penetrating injuries to the pelvis) were excluded. Results: There were 12 cases of iatrogenic bladder injury treated during this time. A total of eight injuries occurred during gynaecological surgery. Five injuries occurred during lower segment caesarean section, two injuries during total abdominal hysterectomy and bilateral salpingo-oopherectomy, and a single injury during Burch colposuspension. Four out of the five injuries during caesarian section had a history of previous caesarian section. Of the four remaining non-gynaecological related injuries, two injuries occurred during hernioplasty, one during exploration of an enterocutaneous fistula and the other was during laparoscopic appendicectomy. Conclusion: Iatrogenic bladder injury should be anticipated in patients undergoing caesarean section who have had multiple previous caesarean sections. Iatrogenic injuries should be identified intra-operatively to enable early repair and the best outcome. These injuries were adequately assessed by ascending cystography. Continuous repair with absorbable sutures together with perivesicle drainage and bladder catheterization produces good outcome.

KW - Bladder

KW - Iatrogenic

KW - Injury

KW - Repair

UR - http://www.scopus.com/inward/record.url?scp=79958833551&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79958833551&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:79958833551

VL - 42

SP - 215

EP - 218

JO - Colombia Medica

JF - Colombia Medica

SN - 0120-8322

IS - 2

ER -