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  1 / 105 MEDLINE  
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[PMID]:28177538
[Au] Autor:Kieves NR; Krebs AI
[Ad] Endereço:Department of Veterinary Clinical Sciences, Iowa State University, Ames, Iowa.
[Ti] Título:Comparison of leak pressures for single-layer simple continuous suture pattern for cystotomy closure using barbed and monofilament suture material in an ex vivo canine model.
[So] Source:Vet Surg;46(3):412-416, 2017 Apr.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To compare leak pressures following simple continuous closure of cystotomy with barbed suture to an analogous monofilament suture, in an ex vivo canine model. STUDY DESIGN: Ex vivo, simple randomized study. ANIMALS OR SAMPLE POPULATION: Urinary bladders harvested from canine cadavers (n = 21). METHODS: Urinary bladders were harvested from cadavers immediately following euthanasia. A 3-cm cystotomy was made on ventral midline of the urinary bladder. Urinary bladders were randomly assigned a suture for closure. A digital pressure transducer was inserted through 1 ureter, and the other ligated, while colored isotonic saline was infused into the urinary bladder via a Foley catheter inserted in the urethra. The initial leak pressure was defined as the pressure at which the colored saline solution first leaked from the cystotomy, and the maximum leak pressure was recorded when the pressure reached a plateau or catastrophic failure occurred. A Welch's 2-sample t test was used to compare leak pressure between the barbed and non-barbed closures, with significance set at P < .05. RESULTS: There was no significant difference in the initial or maximum leak pressure between the barbed and non-barbed closures. CONCLUSIONS: This study showed no difference in initial or maximum leak pressure between cystotomy closures with barbed or non-barbed suture under ex vivo conditions. This indicates barbed suture may be appropriate for cystotomy closure but in vivo studies are needed to support this finding.
[Mh] Termos MeSH primário: Cistotomia/veterinária
Suturas/veterinária
Bexiga Urinária/cirurgia
[Mh] Termos MeSH secundário: Animais
Fenômenos Biomecânicos
Cadáver
Cães
Teste de Materiais
Procedimentos Cirúrgicos Minimamente Invasivos/veterinária
Modelos Animais
Pressão
Técnicas de Sutura/veterinária
Bexiga Urinária/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12632


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[PMID]:28112560
[Au] Autor:Chaudhry R; Theisen KM; Stephany HA; Schneck FX; Cannon GM; Ost MC
[Ad] Endereço:1 Division of Pediatric Urology, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
[Ti] Título:Percutaneous Stone Surgery in Spina Bifida Patients--Are Stone-Free Rates Worth the Risk?
[So] Source:J Endourol;31(S1):S81-S86, 2017 Apr.
[Is] ISSN:1557-900X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Percutaneous stone surgery can be challenging in spina bifida (SB) patients due to their body habitus and spinal cord anomalies. A safe surgical approach may necessitate acceptance of lower stone-free (SF) rates. We seek to determine if anatomic complexity, as measured by spinal cord curvature and torso length, is associated with SF rates after percutaneous stone surgery in SB patients. We hypothesize that increasing anatomic complexity is associated with lower SF rates following percutaneous stone surgery. METHODS: We retrospectively reviewed all cases of percutaneous nephrolithotomy (PCNL) and percutaneous cystolitholapaxy (PC) in patients with SB at our institution. We calculated individual Cobb angles for scoliosis and kyphosis and measured torso lengths to serve as surrogates of anatomic complexity. These parameters were used to test for associations between anatomic complexity and SF rates. RESULTS: A total of 32 procedures were analyzed (15 PCNL, 17 PC). SF rates for PCNL and PC were 60% and 71%, respectively. For both the PCNL and PC cohorts, there was no difference in age, preoperative stone burden, body mass index, operative time, or estimate blood loss between patients deemed SF or not stone free (NSF) after a single procedure. In the PCNL cohort, worsening scoliosis (higher Cobb angle) and lower SF rates trended toward statistical significance (43° vs. 24°, p = 0.058). In the PC cohort, increasing torso length was associated with lower SF rates (34.1 vs. 28.5 cm, p = 0.02). CONCLUSIONS: Overall SF rates were modest in this population. Cobb angle measurements of scoliosis and kyphosis as well as torso length are novel tools for objectively defining anatomic complexity in the SB population and may help predict success following stone surgery.
[Mh] Termos MeSH primário: Cistotomia/métodos
Cálculos Renais/cirurgia
Cifose/diagnóstico por imagem
Nefrostomia Percutânea/métodos
Escoliose/diagnóstico por imagem
Disrafismo Espinal/complicações
Cálculos da Bexiga Urinária/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Índice de Massa Corporal
Feminino
Seres Humanos
Cálculos Renais/complicações
Cifose/etiologia
Litotripsia
Masculino
Duração da Cirurgia
Postura
Radiografia
Estudos Retrospectivos
Risco
Escoliose/etiologia
Resultado do Tratamento
Cálculos da Bexiga Urinária/complicações
Procedimentos Cirúrgicos Urológicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE
[do] DOI:10.1089/end.2016.0769


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[PMID]:27990009
[Au] Autor:Fungwithaya P; Brikshavana P; Chanchaithong P; Prapasarakul N
[Ad] Endereço:Department of Veterinary Microbiology, Faculty of Veterinary Science, Chulalongkorn University, 10330, Bangkok, Thailand.
[Ti] Título:Distribution of methicillin-resistant coagulase-positive staphylococci (MRCoPS) in a surgical unit and cystotomy operation sites in a veterinary teaching hospital.
[So] Source:J Vet Med Sci;79(2):359-365, 2017 02 28.
[Is] ISSN:1347-7439
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:This study aimed to investigate the spread of methicillin-resistant coagulase-positive staphylococci (MRCoPS) among veterinary staff, hand-touch sites and surgical tissue during cystotomy operations on cats and dogs that were patients, and to analyze the genetic relatedness and antimicrobial resistance profiles of the isolates. Human and environmental samples were obtained from the nasal passageways of 12 surgeons and veterinary assistants and from 29 hand-touch sites of instruments in operative units and subjected to bacterial isolation and enumeration. Swab samples were collected in triplicate from 29 dogs and three cats at the site of incision, from the incision area, from the peritoneum during surgery and from the peritoneum before suture. MRCoPS were identified by mecA gene detection and characterized by their antibiogram profile, SCCmec type and pulsed-field gel electrophoresis. Twenty-four staphylococci were isolated, derived from one veterinary assistant, 12 operating room floor areas and hand-touch sites, three dogs and one cat. Methicillin-resistant S. pseudintermedius (MRSP) was found on an electric clipper and rebreathing circuits in the operating room. Three dogs were positive for MRSP during surgery, and one methicillin-resistant S. aureus (MRSA) was detected in a cat. All MRCoPS were resistant to doxycycline, erythromycin, clindamycin and enrofloxacin, but no patients developed surgical site infections. According to their genotypic patterns, the clones obtained from the environment and human sources differed from the animal clones. Despite intensive hygienic management, a variety of MRCoPS clones were present within the surgical unit and during surgery.
[Mh] Termos MeSH primário: Infecção Hospitalar/veterinária
Cistotomia/veterinária
Hospitais Veterinários
Hospitais de Ensino
Staphylococcus aureus Resistente à Meticilina/isolamento & purificação
Centro Cirúrgico Hospitalar
[Mh] Termos MeSH secundário: Técnicos em Manejo de Animais
Animais
Doenças do Gato/microbiologia
Gatos
Coagulase/metabolismo
Doenças do Cão/microbiologia
Cães
Contaminação de Equipamentos
Mãos/microbiologia
Seres Humanos
Staphylococcus aureus Resistente à Meticilina/enzimologia
Staphylococcus aureus Resistente à Meticilina/genética
Testes de Sensibilidade Microbiana
Nariz/microbiologia
Infecção da Ferida Cirúrgica/etiologia
Infecção da Ferida Cirúrgica/microbiologia
Infecção da Ferida Cirúrgica/veterinária
Tailândia
Médicos Veterinários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Coagulase)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161220
[St] Status:MEDLINE
[do] DOI:10.1292/jvms.16-0146


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[PMID]:27936931
[Au] Autor:Marien T; Robles J; Kammann TM; Kadihasanoglu M; Viprakasit DP; Herrell SD; Miller NL
[Ad] Endereço:Department of Urologic Surgery, Vanderbilt University Medical Center , Nashville, Tennessee.
[Ti] Título:Characterization of Urolithiasis in Patients Following Lower Urinary Tract Reconstruction with Intestinal Segments.
[So] Source:J Endourol;31(3):217-222, 2017 Mar.
[Is] ISSN:1557-900X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Urinary diversion and augmentation cystoplasty are associated with long-term complications, including metabolic derangements, infectious complications, and urolithiasis. The aim of this series was to characterize upper and lower urinary tract (LUT) calculi in this population. METHODS: A retrospective chart review was performed on all patients with a history of urinary diversion or augmentation cystoplasty who subsequently underwent treatment for urolithiasis between January 1998 and May 2015. Data collected included demographics, perioperative characteristics, type of reconstructive procedure, urine culture, stone analysis, and metabolic evaluation. A statistical analysis was performed. RESULTS: Ninety-nine patients were identified with a history of urolithiasis and incontinent urinary diversion (28), neobladder (21), continent cutaneous diversion (12), and augmentation cystoplasty (38). LUT stones were more common than upper tract stones in all except for incontinent diversions, which only had one lower tract stone (p = 0.0001). Twenty-three percent of stones were metabolic. Several metabolic derangements were noted, including hypocitraturia (100%), elevated urine pH (100%), low urine volume (70%), and hyperoxaluria (35%). There was a 44% rate of recurrent urolithiasis. CONCLUSIONS: Given the high rate of stone recurrence among patients with a history of urinary diversion and augmentation cystoplasty, all measures should be taken to prevent recurrent stones. In addition to actions aimed to prevent infectious stones such as bladder and pouch irrigation, we recommend these patients undergo a full metabolic workup with targeted dietary changes and medical therapies.
[Mh] Termos MeSH primário: Cistotomia/efeitos adversos
Intestinos/transplante
Complicações Pós-Operatórias/epidemiologia
Procedimentos Cirúrgicos Reconstrutivos/efeitos adversos
Cálculos Urinários/epidemiologia
Derivação Urinária/efeitos adversos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Meia-Idade
Recidiva
Estudos Retrospectivos
Cálculos Urinários/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE
[do] DOI:10.1089/end.2016.0297


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[PMID]:27378576
[Au] Autor:Yoon H; Kim H; Jung U; Eom K
[Ad] Endereço:Department of Veterinary Medical Imaging, College of Veterinary Medicine, Konkuk University, Seoul, 143-701, Korea.
[Ti] Título:IMAGING DIAGNOSIS-A LUMINAL LAMINATED DEBRIS BALL IN THE URINARY BLADDER OF A DOG.
[So] Source:Vet Radiol Ultrasound;58(3):E22-E25, 2017 May.
[Is] ISSN:1740-8261
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A 5-year-old dog presented with pollakiuria and urinary incontinence. Abdominal radiographs revealed an oval, multilayered structure with soft tissue opacity and gas lucency in the urinary bladder. Ultrasonography showed an oval luminal structure with hyper- and hypoechoic layers and internal reverberation artifacts. Following cystotomy, the hemisected plane showed a layered, pale whitish matrix with a gas layer around the core. Histopathological examination showed no evidence of cells, bacteria, or fungi. The core and laminae comprised fibrinous and mineral debris. A final diagnosis of a freely floating, gas-filled laminated debris ball was made.
[Mh] Termos MeSH primário: Doenças do Cão/diagnóstico por imagem
Radiografia Abdominal/veterinária
Doenças da Bexiga Urinária/veterinária
Bexiga Urinária/patologia
[Mh] Termos MeSH secundário: Animais
Cistotomia/veterinária
Diagnóstico Diferencial
Cães
Feminino
Bexiga Urinária/diagnóstico por imagem
Doenças da Bexiga Urinária/diagnóstico por imagem
Doenças da Bexiga Urinária/etiologia
Incontinência Urinária/diagnóstico por imagem
Incontinência Urinária/etiologia
Incontinência Urinária/veterinária
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160706
[St] Status:MEDLINE
[do] DOI:10.1111/vru.12385


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[PMID]:27901452
[Au] Autor:Singh A; Hoddinott K; Morrison S; Oblak ML; Brisson BA; Ogilvie AT; Monteith G; Denstedt JD
[Ti] Título:Perioperative characteristics of dogs undergoing open versus laparoscopic-assisted cystotomy for treatment of cystic calculi: 89 cases (2011-2015).
[So] Source:J Am Vet Med Assoc;249(12):1401-1407, 2016 Dec 15.
[Is] ISSN:1943-569X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE To compare perioperative characteristics of dogs with cystic calculi treated via open versus laparoscopic-assisted cystotomy (LAC). DESIGN Retrospective case series. ANIMALS 89 client-owned dogs that underwent open cystotomy (n = 39) or LAC (50). PROCEDURES Medical records of dogs that underwent cystotomy between 2011 and 2015 were reviewed. History, signalment, surgery date, results of physical examination, results of preoperative diagnostic testing, details of surgical treatment, duration of surgery, perioperative complications, treatment costs, and duration of hospitalization were recorded. RESULTS 5 of 50 (10%) dogs required conversion from LAC to open cystotomy (OC). There was no significant difference between the LAC (1/50) and OC (2/39) groups with regard to percentage of patients with incomplete removal of calculi. Duration of surgery was not significantly different between the LAC (median, 80 min; range, 35 to 145 min) and OC (median, 70 min; range, 45 to 120 min) groups. Postoperative duration of hospitalization was significantly shorter for dogs that underwent LAC (median, 24 hours; range, 12 to 48 hours) versus OC (median, 26 hours; range, 12 to 63 hours). Surgical and total procedural costs were significantly higher for patients undergoing LAC. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that LAC may be an acceptable minimally invasive technique for treatment of cystic calculi in dogs. Surgery times were similar to those for dogs undergoing OC; however, surgical and total procedural costs were higher. Further investigation is suggested to determine which patients may benefit from LAC versus traditional OC.
[Mh] Termos MeSH primário: Cistotomia/veterinária
Doenças do Cão/cirurgia
Período Perioperatório/veterinária
Cálculos da Bexiga Urinária/cirurgia
[Mh] Termos MeSH secundário: Animais
Cistotomia/métodos
Cães
Feminino
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE


  7 / 105 MEDLINE  
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[PMID]:27763742
[Au] Autor:Choi H; Bae JH
[Ad] Endereço:Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Korea.
[Ti] Título:Laparoscopic single port cystolithotomy using pneumovesicum.
[So] Source:Int Braz J Urol;42(5):1047-1048, 2016 Sep-Oct.
[Is] ISSN:1677-6119
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Mh] Termos MeSH primário: Cistotomia/métodos
Laparoscopia/métodos
Cálculos da Bexiga Urinária/cirurgia
[Mh] Termos MeSH secundário: Dióxido de Carbono
Dilatação/métodos
Seres Humanos
Litotripsia/métodos
Masculino
Meia-Idade
Duração da Cirurgia
Reprodutibilidade dos Testes
Cloreto de Sódio
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
142M471B3J (Carbon Dioxide); 451W47IQ8X (Sodium Chloride)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE


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[PMID]:27705735
[Au] Autor:Elmansy H; Hussaen J; Elhilali M; Andonian S
[Ad] Endereço:Division of Urology, Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
[Ti] Título:Pyelocystostomy for treatment of recurrent nephrolithiasis and ureteropelvic junction obstruction in a pelvic kidney.
[So] Source:Can J Urol;23(5):8480-8482, 2016 Oct.
[Is] ISSN:1195-9479
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:Patients with pelvic kidneys are at an increased risk of developing ureteropelvic junction obstruction (UPJO) and nephrolithiasis with limited endourologic options. A 54-year-old man with a left pelvic kidney, recurrent nephrolithiasis, and 12 previous ureteroscopies presented with left UPJO and lower pole calyceal stones. After two failed ureteroscopic attempts, an open pyelolithotomy and pyelocystostomy were performed. After 30 months, he continues to be asymptomatic without recurrence of nephrolithiasis. This constitutes the fifth such reported case. Therefore, pyelocystotomy is a good option for patients with pelvic kidneys, UPJO and recurrent nephrolithiasis refractory to endourologic procedures.
[Mh] Termos MeSH primário: Cistostomia/métodos
Cistotomia/métodos
Nefrolitíase
Obstrução Ureteral
Ureteroscopia
[Mh] Termos MeSH secundário: Seres Humanos
Cálculos Renais/diagnóstico por imagem
Cálculos Renais/cirurgia
Masculino
Meia-Idade
Nefrolitíase/complicações
Nefrolitíase/diagnóstico
Recidiva
Tomografia Computadorizada por Raios X/métodos
Resultado do Tratamento
Obstrução Ureteral/etiologia
Obstrução Ureteral/cirurgia
Ureteroscopia/efeitos adversos
Ureteroscopia/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161006
[St] Status:MEDLINE


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[PMID]:27569356
[Au] Autor:Iwamoto T; Hosokawa Y; Otsuka K; Matsushita C; Hayashi Y; Onishi K; Fujimoto K
[Ad] Endereço:The Department of Urology, Tane General Hospital.
[Ti] Título:[Urethral Fistula Caused by an Urethrovesical Foreign Body : A Case Report].
[So] Source:Hinyokika Kiyo;62(7):373-6, 2016 Jul.
[Is] ISSN:0018-1994
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:A 68-year-old man presented with the chief complaint of swelling of the penis. A pencil had been inserted into his urethra by a commercial sex worker for sexual stimulation. On a computed tomography (CT) scan, a foreign object was visible throughout the urethra and in the urinary bladder. Cystoscopy performed under spinal anesthesia showed a pencil in the urethra. We attempted removing the object endoscopically by using a Holmium laser. However, the endoscopic procedure failed and finally, we removed the object by transvesical open surgery. At the same time, suprapubic cystostomy was performed for the disorder of the urethra. An anterior urethrocutaneous fistula was formed 5 days after the operation. After removal of the urethral catheter, he was managed with only suprapubic cystostomy. Conservative management of the urethrocutaneous fistula was effective. The fistula was completely closed 26 days after the operation. He was discharged 33 days after the operation.
[Mh] Termos MeSH primário: Fístula Cutânea/etiologia
Corpos Estranhos/complicações
Corpos Estranhos/cirurgia
Complicações Pós-Operatórias/etiologia
Uretra/cirurgia
Doenças Uretrais/etiologia
Bexiga Urinária/cirurgia
Fístula Urinária/etiologia
[Mh] Termos MeSH secundário: Idoso
Tratamento Conservador
Fístula Cutânea/terapia
Cistoscopia
Cistotomia
Corpos Estranhos/diagnóstico por imagem
Seres Humanos
Masculino
Tomografia Computadorizada por Raios X
Resultado do Tratamento
Doenças Uretrais/terapia
Fístula Urinária/terapia
Procedimentos Cirúrgicos Urológicos Masculinos/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170113
[Lr] Data última revisão:
170113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160830
[St] Status:MEDLINE
[do] DOI:10.14989/ActaUrolJap_62_7_373


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[PMID]:27500328
[Au] Autor:Nezhat C; Grace LA; Razavi GM; Mihailide C; Bamford H
[Ad] Endereço:Center for Special Minimally Invasive and Robotic Surgery and Stanford University, Palo Alto, and the University of California at Berkeley, Berkeley, California.
[Ti] Título:Reverse Vesicouterine Fold Dissection for Laparoscopic Hysterectomy After Prior Cesarean Deliveries.
[So] Source:Obstet Gynecol;128(3):629-33, 2016 Sep.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cesarean delivery adhesions, during laparoscopic hysterectomy, can present surgical challenges, including distortion of anatomy, prolonged operating time, and inadvertent injury to nearby structures. TECHNIQUE: At the time of laparoscopic hysterectomy, in patients with significant adhesions from prior cesarean deliveries, we use a reverse inferior to superior vesicouterine fold dissection to mobilize the scarred bladder. We use this as an alternative to the commonly practiced technique of mobilizing the bladder in a superior to inferior fashion at the time of laparoscopic hysterectomy. EXPERIENCE: Fifty-two patients with a median age of 42.5 years are presented. Forty-eight patients were discharged within 3-6 hours postoperatively. Sixteen patients were discharged with Foley catheters, because they were unable to void within the protocol for a fast-track discharge. The catheters were removed between postoperative days 1 and 5. There were no gastrointestinal or genitourinary complications. One patient experienced a delayed vaginal cuff abscess and bleeding, which were managed conservatively. CONCLUSION: Reverse vesicouterine fold dissection is a useful alternative technique for laparoscopic hysterectomy in women with a history of prior cesarean deliveries.
[Mh] Termos MeSH primário: Cistotomia/métodos
Dissecação/métodos
Histerectomia/métodos
Bexiga Urinária/cirurgia
Útero/cirurgia
[Mh] Termos MeSH secundário: Adulto
Cesárea/efeitos adversos
Feminino
Seres Humanos
Laparoscopia
Meia-Idade
Aderências Teciduais/etiologia
Aderências Teciduais/cirurgia
Bexiga Urinária/patologia
Útero/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170523
[Lr] Data última revisão:
170523
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160809
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000001593



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