Traumatic rupture of the urinary bladder: is the suprapubic tube necessary?
| Autor: | Jeffrey K Carney, David V. Feliciano, Neil Parry, Zachery Voeltz, Grace S. Rozycki, Raymond A. Cava, Lorraine N. Tremblay |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Resuscitation Adolescent Cystostomy Urinary Bladder Wounds Penetrating Critical Care and Intensive Care Medicine Wounds Nonpenetrating Injury Severity Score Trauma Centers Medicine Humans Retrospective Studies Rupture Urinary bladder business.industry Retrospective cohort study Length of Stay Middle Aged Surgery Catheter medicine.anatomical_structure Blunt trauma Female business Complication Urinary Catheterization |
| Zdroj: | The Journal of trauma. 54(3) |
| ISSN: | 0022-5282 |
| Popis: | Background: Although surgical principles are well accepted for the treatment of an intraperitoneal or extraperitoneal rupture of the urinary bladder, the type and number of drainage catheters needed to obtain a satisfactory outcome with minimal patient morbidity have yet to be determined. Methods: This was a retrospective review of data on injured patients with the diagnosis of an intraperitoneal or extraperitoneal rupture of the urinary bladder from penetrating or blunt trauma. Results: Of the 51 patients identified, 28 were treated with suprapubic and transurethral catheters, whereas 23 received a transurethral catheter only. Complications and catheter duration times were similar regardless of type of bladder injury or drainage catheter used (p > 0.5). Conclusion: These data suggest that there are similar outcomes and complication rates for patients treated with suprapubic and transurethral catheters versus transurethral catheter only. Transurethral catheters alone seem effective in draining all types of bladder injuries. |
| Databáze: | OpenAIRE |
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