Conservative management of incidental cystotomy at laparoscopy. A report of two cases.

Autor:	Angle HS; Department of Obstetrics and Gynecology, University of Massachusetts Medical Center, Worcester 01655, USA., Young SB
Jazyk:	angličtina
Zdroj:	The Journal of reproductive medicine [J Reprod Med] 1995 Nov; Vol. 40 (11), pp. 809-12.
Abstrakt:	Background: In the last 20 years the technique of operative laparoscopy has rapidly evolved, so the majority of gynecologic procedures can now be performed endoscopically. However, laparoscopy is still a relatively new technique, and we have much to learn about its associated complications and their management. In the English-language literature there are 15 reported cases of bladder perforation associated with laparoscopy, and 4 of them occurred with insertion of the primary trocar. Cases: Two cases are described in which incidental cystotomy occurred with primary trocar insertion during laparoscopy for infertility and chronic pelvic pain. Both patients were treated successfully with Foley catheterization. Conclusion: To our knowledge, nothing was written earlier about conservative management of incidental cystotomy occurring at the time of primary laparoscopic trocar insertion. This paper reports two such cases.
Databáze:	MEDLINE
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