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Re: Incidental cystotomy From: Bernard Cristalli (bcrist@club-internet.fr) Tue Dec 12 23:43:20 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: Incidental cystotomy" Previous message: freda seddon: "Re: case? management" In reply to: Ira Bachman, MD: "Incidental cystotomy" Next in thread: Braun, R. Daniel: "Re: Incidental cystotomy" between 2 and 3 days would be my answer if the trocar entered the abdomen through the bladder, I mean if you created a communication between bladder and the peritoneal cavity. If there is no communication at all with the peritoneum (which is unlikely since you filled the urine bag) remove the Foley now. -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France Bernard.Cristalli@CliniquedelEssonne.fr http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm http://www.gyneweb.fr '64 Mk2 3.8 > De : awogc@aol.com (Ira Bachman, MD) > Répondre à : ob-gyn-l@obgyn.net > Date : Tue, 12 Dec 2000 19:59:17 -0600 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Objet : Incidental cystotomy > > During laparoscopy the other night for a 5 cm hemorragic cyst causing > intense pain, I managed to enter the bladder with a 5mm trocar placed > suprapubically. This became apparent when the nurse noted the foley bag > filling like a balloon. A laparotomy was performed due to extensive > pelvic adhesions for management of the cyst. The cystotomy was > identified in the dome, 5mm in size, and repaired in two layers with 3-0 > vicryl. The bladder integrity was then tested with methylene blue > solution. On post op day 1 the urine is noted to be clear. For how > long would you drain the bladder? My initial plan was 48-72 hours. In > "Complications in Gynecologic Surgery" they recommend 7-10 days. As the > laceration was no bigger than that used for a SPT or to perform > teloscopy, I think 7- 10 days is a bit extreme. > Next message: Braun, R. Daniel: "Re: Incidental cystotomy" Previous message: freda seddon: "Re: case? management" In reply to: Ira Bachman, MD: "Incidental cystotomy" Next in thread: Braun, R. Daniel: "Re: Incidental cystotomy"

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