{"title":"A Further Application of Detachable Snare Loops (Endoloop) for Repair of Bladder Injury.","authors":"Theodore Tsaltas","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>BACKGROUND: Complications of operative laparoscopy and laparoscopic hysterectomy were once repaired by laparotomy. Their laparoscopic repair still offers challenges, most especially in the presence of inflammation, scarring, and tissue distortion. This report presents a new application, under high-risk conditions, of a simple and effective method for repair of inadvertent cystotomy.\n\nCASE: A 29-year-old woman undergoing laparoscopic hysterectomy for a vaginal mass experienced an incidental bladder injury in the context of a retained foreign body, extensive inflammatory changes, and scarring. A novel use of a standard laparoscopic tool produced a rapid, effective bladder repair.\n\nCONCLUSION: Simple and effective cystotomy repair is possible even under extremely complex conditions.</p>","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"62 1-2","pages":"82-4"},"PeriodicalIF":0.2000,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"生殖医学杂志","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
BACKGROUND: Complications of operative laparoscopy and laparoscopic hysterectomy were once repaired by laparotomy. Their laparoscopic repair still offers challenges, most especially in the presence of inflammation, scarring, and tissue distortion. This report presents a new application, under high-risk conditions, of a simple and effective method for repair of inadvertent cystotomy.
CASE: A 29-year-old woman undergoing laparoscopic hysterectomy for a vaginal mass experienced an incidental bladder injury in the context of a retained foreign body, extensive inflammatory changes, and scarring. A novel use of a standard laparoscopic tool produced a rapid, effective bladder repair.
CONCLUSION: Simple and effective cystotomy repair is possible even under extremely complex conditions.
期刊介绍：
The Journal of Reproductive Medicine® has been the essential tool of Obstetricians and Gynecologists since 1968. As a highly regarded professional journal and the official periodical of six medical associations, JRM® brings timely and relevant information on the latest procedures and advances in the field of reproductive medicine. Published bimonthly, JRM® contains peer-reviewed articles and case reports submitted by top specialists. Common topics include research, clinical practice, and case reports related to general obstetrics and gynecology, infertility, female cancers, gynecologic surgery, contraception, and medical education.
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