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- Title
Bladder injuries following inguinal canal surgery in infants.
- Authors
Aloi, Ivan; Lais, Alberto; Caione, Paolo; Aloi, Ivan P
- Abstract
<bold>Purpose: </bold>Surgery of the inguinal canal is very common in infancy. Occasionally, injury of the bladder may occur with severe consequences. The aim of this paper was to warn young surgeons of this serious complication.<bold>Methods: </bold>During the last 2 years, we observed four cases of bladder injury following surgery on inguinal canal. All were males. The indication for surgery was inguinal hernia in three patients and cryptorchidism in one patient.<bold>Results: </bold>Two cases presented with urinary peritonitis. One child was referred later for a retracted bladder with reflux. In one child, the lesion was promptly recognized and repaired. Of the four cases, two ruptures of the bladder caused transient sequaele, i.e. persisting catheter drainage, and voiding disorders later. In two cases, there were serious consequences: the bladder had to be partially removed in one child, ending up in temporary ureterostomy and subsequent reconstruction with bladder augmentation. The fourth child developed a small, water clock-shaped bladder with a thick wedge of scarred tissue, and bilateral ureteral reimplantation with bladder augmentation was necessary.<bold>Conclusions: </bold>Surgery of the inguinal canal is very common in children and infants, and is often performed by trainees. Awareness of this serious event should be emphasized in training programs.
- Subjects
ITALY; BLADDER rupture; CHILDREN'S injuries; ALIMENTARY canal surgery; SURGERY; INFANTS; SURGEONS; PERITONITIS; GENITOURINARY diseases; ABDOMINAL surgery; BLADDER injuries; CRYPTORCHISM surgery; IATROGENIC diseases; INGUINAL hernia; REOPERATION; UREMIA; RETROSPECTIVE studies; PREVENTION
- Publication
Pediatric Surgery International, 2010, Vol 26, Issue 12, p1207
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-010-2707-1