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Preliminary experience in using the lateral single-incision laparoscopic totally extraperitoneal approach for inguinal hernia repair.
Updates Surg
December 2024
Department of General Surgery, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, 2800 Gongwei Road, Pudong, Shanghai, 201399, China.
To evaluate the feasibility, safety, and efficacy of the lateral single-incision laparoscopic totally extraperitoneal (L-SILTEP) approach in patients with inguinal hernia who had contraindications to the midline approach. This study included 58 patients who underwent L-SILTEP. Data on their baseline characteristics and perioperative details were collected.
View Article and Find Full Text PDFDelayed diagnosis of pediatric bladder rupture with atypical presentation after a minor fall.
Am J Emerg Med
November 2024
The University of Texas at Austin Dell Medicine, Department of Pediatrics, Austin, TX, United States of America; US Acute Care Solutions, United States of America.
Background: Pediatric bladder injuries, though uncommon, typically result from blunt trauma, often associated with motor vehicle collisions. While most bladder injuries are linked to pelvic fractures, this association may be less common in children due to anatomical differences. Bladder injuries are classified as extraperitoneal, intraperitoneal, or combined, with intraperitoneal injuries being rarer but more prevalent in children due to their higher abdominal bladder position.
View Article and Find Full Text PDFMinimally invasive management of extraperitoneal bladder injury with extension to the trigone of the bladder with bilateral external ureteral catheterization: innovative approach instead of open surgical treatment.
Am J Clin Exp Urol
October 2024
School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.
Article Synopsis
- - The case study highlights the importance of accurate diagnosis and personalized management in treating complex bladder injuries, specifically a patient with a significant Grade V injury.
- - In this instance, conservative treatment failed, leading to a decision for a less invasive procedure that involved using an external catheter, allowing the bladder to heal without exposure to urine.
- - The successful outcome of this innovative approach demonstrates that careful monitoring and customized treatment plans can lead to positive recovery even in challenging cases of bladder trauma.
A Vesicocutaneous Fistula Treated With Urinary Diversion, Negative Pressure Wound Therapy, and Time.
Cureus
July 2024
Department of Urology, Faculty of Medical Sciences, Lebanese University, Beirut, LBN.
A 38-year-old motor vehicle accident victim presented for acute urinary retention due to a clogged Foley catheter, which was inserted two weeks prior during surgery for pelvic and spine fixation and extra-peritoneal bladder rupture. Imaging studies revealed persistent bladder leaks despite primary and, later, secondary surgical repair. A combination of novel non-surgical techniques, that is, urinary diversion, negative pressure dressings, and waiting proved beneficial in our case, and led ultimately to complete clinical and radiological resolution of the fistula.
View Article and Find Full Text PDFExtraperitoneal Spillage in Ruptured Tubo-Ovarian Abscess: A Case Report and Review of Literature.
Cureus
June 2024
Surgery, Manipal Tata Medical College, Jamshedpur, IND.
We report herein a case of a 43-year-old female with a ruptured tubo-ovarian abscess complicated by sepsis and extraperitoneal spillage into the anterior abdominal wall. The patient initially presented with acute abdominal pain and septic shock. Pelvic computed tomography revealed a collection in the abdomen that suggested a ruptured tubo-ovarian abscess, which dissects into the right rectus plane.
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