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Cystorrhaphy suture of bladder wound injury or rupture complicated?
Wiki User
∙ 13y ago
cystorrhaphy is the surgical repair of urinary bladder.In bovines,it is undertaken preferably in the standing position.Incision is given in left paralumbar fossa.
After giving local anaesthesia,abdomen is entered through a 15 to 20 cm long incision below the external angle of ilium.
urinary bladder is identified and adhesions, if present are gently broken,without damaging the ventral and lateral peritoneal folds.
the repair of bladder is done by applying continuous lock stitch sutures using absorable suture material.a second row of continuous suture is applied to avoid leakage.the abdomen is closed in aroutine manner.
RAGHAV BEDI
Wiki User
∙ 13y ago
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What are the risk factors of cervical cerclage?
Risks associated with anesthesia, premature labor, infection, cervical rupture (may occur if the stitch is not removed before onset of labor), injury to the cervix or bladder, bleeding.
What is a cackle-bladder?
A cackle-bladder is a bladder containing chicken blood, used by a conman to fake someone's death or injury.
Does workers comp cover Patellar Tendon Rupture?
it does if the injury was job-related.
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No I can't I have very little control over my bladder due to my spinal cord injury
What diseases and disorders make the bladder go bad?
Infection, trauma, tumour, bladder stones and spinal injury and stroke can cause bladder problems
What does BBB care stands for in spinal injury?
Bowel, bladder and bone care
When is ureterosigmoidoscopy needed?
The surgery is indicated when there is resection (surgical cutting and/or removal), malformation, or injury to the bladder. The bladder disposes of wastes passed to it from the kidneys.
What is the amount for a rupture cervical disc in a car accident?
Not quite sure what you are asking but it's hard to put a monetary amount on an injury.
Traumatic injury of the bladder and urethra?
DefinitionTraumatic injury of the bladder and urethra involves damage caused by an outside force.Alternative NamesInjury - bladder and urethra; Bruised bladder; Urethral injury; Bladder injury; Pelvic fracture; Urethral disruptionCauses, incidence, and risk factorsInjuries to the bladder can be divided into:Blunt trauma (such as a blow to the body)Penetrating wounds (such as bullet or stab wounds)The nature of the injury to the bladder depends on how full the bladder was at the time of injury and what caused the injury.Traumatic injury to the bladder is uncommon. Only about 8 - 10% of pelvic fractures are associated with bladder injury. Because the bladder is located within the bony structures of the pelvis, it is protected from most outside forces. Injury may occur if there is a blow to the pelvis that is severe enough to break the bones and cause bone fragments to penetrate the bladder wall.Other causes of bladder or uretal injury include:Surgeries of the pelvis or groin (including hernia repair and abdominal hysterectomy)Tears, cuts, bruises, and other injuries to the urethra (the tube that carries urine out of the body) -- most common in men.Straddle injuries (direct force accidents that injury the scrotum area between a man's legs)Deceleration injury (for example, a motor vehicle accident that occurs with a full bladder while wearing seatbelt)Injury to the bladder or urethra may cause urine to leak into the abdomen, leading to infection (peritonitis). This type of injury is more common if the bladder is full.SymptomsAbdominal pain, lowerBlood in the urine or at the urethral openingDifficulty beginning to urinate or inability to empty the bladderLoss of fluidsPainful urinationPelvic painSevere bleedingSmall, weak urine streamEmergency symptoms indicating shock or hemorrhage:Decreased alertnessComaDrowsiness, lethargyIncreased heart ratePale skinSweatingSkin cool to touchNote: Symptoms follow a history of injury.Scarring (stricture) or obstruction of the bladder or urethra from swelling may develop.If urine retention occurs, there may be an increased risk of urinary tract infections (UTI).Signs and testsAn examination of the genitals may show injury to the urethra. If the health care provider suspects an injury, an x-ray of the urethra using dye (retrograde urethrogram) should be done to show the structure of the lower urinary tract.Examination may also show:Bladder injury or swollen (distended) bladderIf the bladder lining has been disturbed, urine may escape from the bladder into the abdominal cavity.Other signs of pelvic injury, such as brusing over the penis, scrotum, and perineumSigns of hemorrhage or shock, including decreased blood pressure -- especially in cases of pelvic fractureTenderness and bladder fullness when touched (caused by urine retention)Tender and unstable pelvic bonesA catheter (a tube that drains urine from the body) may be inserted once an injury has been ruled out. An x-ray of the bladder using dye to highlight any damage can then be done.TreatmentThe goals of treatment are to:Control symptomsRepair the injuryPrevent complicationsEmergency treatment of bleeding or shock may include:Blood transfusionsIntravenous (IV) fluidsMonitoring in the hospitalTreatment of peritonitis (inflammation of the abdominal cavity) may include emergency surgery to repair the injury and drain the urine from the abdominal cavity. Antibiotics may be given to treat peritonitis and to prevent urinary tract infections.Surgical repair of the injury is usually successful. The bladder may be drained by a catheter through the urethra or the abdominal wall over a period of days to weeks. This will prevent urine from building up in the bladder, allowing the injured bladder or urethra to heal. This also prevents swelling in the urethra from blocking urine flow.If the urethra has been cut, a urological specialist can place a catheter. If this cannot be done, a tube will be inserted through the abdominal wall and directly into the bladder. This is called a suprapubic tube. It will be left in place until swelling goes away and the urethra can be surgically repaired. This typically takes 3 - 6 months.Expectations (prognosis)Traumatic injury of the bladder and the urethra may range from minor to major and life-threatening. There may be severe, immediate, or long-term complications.ComplicationsAcute bilateral obstructive uropathyBleeding, hemorrhage, shockChronic bilateral obstructive uropathyPeritonitisScar formation, obstruction of the urethraUrinary retentionVesicoureteric refluxCalling your health care providerGo to the emergency room or call the local emergency number (such as 911), if you have symptoms of traumatic injury of the bladder or urethra -- particularly if there is a history of injury to the area.Call your health care provider if symptoms worsen or new symptoms develop, including:Decrease in urine productionFeverSevere abdominal painSevere flank or back painShock or hemorrhagePreventionPrevent outside injury to the bladder and urethra by using general safety precautions:Do not insert objects into the urethraIf you need self-catheterization, follow the instructions of your health care providerUse appropriate safety equipment during work and playReferencesMorey AF, Rozanski TA. Genital and lower urinary tract trauma. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 83.Runyon MS. Genitourinary system. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 44.Reviewed ByReview Date: 06/21/2010Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
What events may lead to incontinence in adults?
Incontinence is lake of voluntary control over the bladder sphincter muscle,might be as result of spinal cord injury, emotional problems,bladder irritability and some other pathology of urinary tract.
Can the bladder explode if pee is held in to long?
If you need to pee and you hold it in for too long, it can tear the linings in your bladder and permanently damage your bladder. Not going to the bathroom can also give you a bladder infection. No, it doesn't explode.
is it a personal injury litigation if there are not any lawyers involved?
If you choose to pursue a personal injury suit, you are not required to use a lawyer, but most litigation does involve a lawyer because of the complicated procedure.
