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- Title
Bladder repair following iatrogenic cystotomy in irradiated small capacity bladders.
- Authors
Jia Yi Chee; Durai, Pradeep; Mei Wen Fiona Wu; Ho Yee Tiong
- Abstract
During laparotomy in a previously irradiated and operated pelvis, incidental cystotomies can occur and a tension-free, watertight, two- or three-layer closure of the bladder may be impossible. We herein report two cases of iatrogenic defects of the bladders in post-irradiated pelvises and compare the two different methods of bladder repair employed - an ileal augmentation segment used in the first case and bovine pericardial graft used in the second. Successful closures of the bladder defects were achieved in both cases. Native irradiated bowel and bovine pericardium can be useful substitutes in situations involving bladder defects in a previously irradiated pelvis. The advantages and disadvantages of the two approaches are also herein discussed.
- Subjects
ABDOMINAL surgery; PELVIC surgery; BLADDER diseases; IATROGENIC diseases; URINARY organ diseases
- Publication
Singapore Medical Journal, 2015, Vol 56, Issue 3, pe49
- ISSN
0037-5675
- Publication type
Article
- DOI
10.11622/smedj.2015052