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Canadian Journal of Anesthesia, Vol 42, 415-416, Copyright © 1995 by Canadian Anesthesiologists' Society

ARTICLES

Intraoperative detection of laparoscopic bladder injury

R Classi and PA Sloan
Department of Anesthesiology, University of Kentucky Medical Center, Lexington, USA.

We report a case of bladder perforation during laparoscopic gynaecological surgery that was detected intraoperatively by gaseous distention of the urinary bag. The anaesthetist can help detect intraoperative laparoscopic bladder injury by checking the bladder catheter collection bag for gaseous distension. In this clinical report, gaseous distention of the urinary bag was the only indication of intraoperative laparoscopic bladder injury and resulted in immediate intervention and surgical repair. Intraoperative bladder injury repair will result in decreased surgical morbidity, and if performed laparoscopically may result in decreased hospital stay.




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Copyright © 1995 by the Canadian Anesthesiologists' Society.