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On-table urethral catheterisation during laparoscopic appendicectomy: Is it necessary?

On-table urethral catheterisation during laparoscopic appendicectomy: Is it necessary?

Authors :
M. J. Burke
Gregory J. Nason
Sher N Baig
Michael E. Kelly
Subhasis K. Giri
Leon G. Walsh
A. Aslam
Hugh D. Flood
Source :
Canadian Urological Association Journal. 9:55
Publication Year :
2015
Publisher :
Canadian Urological Association Journal, 2015.

Abstract

Introduction: Laparoscopic appendicectomy (LA) is the most commonly performed surgical emergency procedure. The aim of this study was to highlight a series of iatrogenic bladder injuries during LA and suggest a simple method of prevention.Methods: A retrospective review was carried out of all LA performed in a university teaching hospital over a two year period 2012-2013. Iatrogenic visceral injuries were identified and operative notes examined.Results: During the study period 1124 appendicectomies were performed. Four iatrogenic bladder injuries occurred related to secondary trocar insertion. No patient was catheterised preoperatively. One of the injuries was identified intra-operatively, another in the early postoperative period where as two re-presented acutely unwell post-discharge from hospital. Three were repaired by laparotomy and one laparoscopically.Conclusion: Iatrogenic secondary trocar induced bladder injuries are a rare but preventable and potentially serious complication of LA. Urethral catheterisation during LA is a safe and simple method which can prevent this complication.

Details

ISSN :
19201214 and 19116470
Volume :
9
Database :
OpenAIRE
Journal :
Canadian Urological Association Journal
Accession number :
edsair.doi.dedup.....40420b87eff6411e141d07cb3de7ad01
Full Text :
https://doi.org/10.5489/cuaj.2341