Perforation of Continent Urinary Reservoirs Scandinavian Experience
| Autor: | Alexander Schultz, August Bakke, Einar Brekkan, B Bergman, H Wolf, Martti Nurmi, B Sorensen, T Urnes, Olof Jonsson, Wiking Månsson, J Pedersen, Björn Kihl |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology Urinary system Urinary Bladder Perforation (oil well) Postoperative Complications Epidemiology Humans Medicine Major complication Aged Laparotomy Urinary bladder Rupture Spontaneous business.industry Incidence (epidemiology) Proctocolectomy Restorative Urinary Reservoirs Continent Middle Aged Abdominal Pain Surgery Plastic surgery medicine.anatomical_structure Urinary Bladder Neoplasms Nephrology Female business Complication |
| Zdroj: | Scandinavian Journal of Urology and Nephrology. 31:529-532 |
| ISSN: | 1651-2065 0036-5599 |
| DOI: | 10.3109/00365599709030656 |
| Popis: | In a questionnaire survey of urological departments in Sweden, Denmark, Finland and Norway, 20 episodes of perforation of continent urinary pouches were found to have occurred in 18 patients, representing an incidence of 1.5%. This complication occurred with ileal as well as colonic segments, without predilection. In one case there was perforation of an appendiceal outlet. Noticeable findings were (a) a long delay (median 10h) to treatment and (b) that investigational procedures such as enterocystography and enterocystoscopy were not commonly employed. Treatment of this potentially lethal complication was by oversewing the perforation, and there were no subsequent major complications. This complication should be strongly suspected if a patient with continent urinary reconstruction presents with acute abdominal pain. |
| Databáze: | OpenAIRE |
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