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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 04
Laparoscopic Single Layer Repair by Unidirectional V-Loc Vicryl of Traumatic Isolated Intraperitoneal Urinary Bladder Tear
YM Tang, Lai C.K & M.V. Kumar
Published: April 30, 2019 | 56 37
DOI: 10.36347/sjams.2019.v07i04.037
Pages: 159-1552
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Abstract
Traumatic intraperitoneal bladder rupture is a surgical emergency. It is commonly associated with pelvic fracture or a direct blow to the lower abdomen in a distended bladder. Once diagnosis is made and following initial resuscitation as advocated per Advance Trauma Life Support (ATLS) guidelines, patients are brought to the operation theatre. In selected patients who are hemodynamically stable, laparoscopic repair with single or double layer technique is a procedure of choice as it can avoid laparotomy and its associated morbidity. This can be further accomplished by using new type of suture material barbed, knotless, unidirectional absorbable suture V-Loc (Vicryl)(by Covedian) which will allow the repair to be smooth and faster. Herein, we report 3 cases of traumatic intraperitoneal bladder rupture using V-Loc suture that made an uneventful recovery.