V05-09 Laparoscopic Cystorrhaphy in a Pediatric Patient With a Penetrating Bladder Injury

You have accessJournal of UrologyPediatrics (V05)1 May 2024V05-09 LAPAROSCOPIC CYSTORRHAPHY IN A PEDIATRIC PATIENT WITH A PENETRATING BLADDER INJURY Michael Creswell, Christopher Laird, David Juang, and Paul Bowlin Michael CreswellMichael Creswell , Christopher LairdChristopher Laird , David JuangDavid Juang , and Paul BowlinPaul Bowlin View All Author Informationhttps://doi.org/10.1097/01.JU.0001009516.84627.21.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Traumatic intraperitoneal bladder rupture is conventionally repaired by emergent laparotomy; however, this approach is associated with significant morbidity. In the appropriate setting, laparoscopic cystorrhaphy may be a safe alternative. In this video, we demonstrate the surgical technique for laparoscopic repair of a low-velocity traumatic bladder perforation. METHODS: This is a healthy teenage male who sustained multiple stab wounds to the chest and abdomen, resulting in small bowel evisceration. He was taken emergently to the operating room, where his small bowel was reduced, and initially no other injuries were identified. Post-operatively, he was noted to have hematuria. A CT urogram ordered by the trauma team demonstrated an intraperitoneal bladder perforation, leading to the patient's return to the operating room. The patient was hemodynamically stable, and his injuries were of low-velocity nature. The patient underwent laparoscopic cystorrhaphy for surgical management. RESULTS: Intraoperatively, the patient was found to have two cystotomies which were repaired using running V-loc suture. A methylene blue leak test demonstrated water-tight closure. The patient recovered rapidly with minimal pain and early return to activity. The patient's Foley catheter was removed on post-operative day seven after a cystogram demonstrated no leak. At outpatient follow-up, the patient denied voiding symptoms. CONCLUSIONS: In well-selected, hemodynamically stable patients, laparoscopic cystorrhaphy may serve as a safe alternative to traditional laparotomy. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e270 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Michael Creswell More articles by this author Christopher Laird More articles by this author David Juang More articles by this author Paul Bowlin More articles by this author Expand All Advertisement PDF downloadLoading ...