Cesarean bladder injury – obstetrician's nightmare
Urinary bladder is an adjacent viscus susceptible for intraoperative injury during cesarean section (CS). Prolonged labor, scarred uterus, intraabdominal adhesion, emergency CS, advanced labor, cesarean hysterectomy etc., are the predisposing factors for bladder injury during CS. While operating on...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=9;spage=4526;epage=4529;aulast=Manidip |
| _version_ | 1819044923819687936 |
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| author | Pal Manidip Bandyopadhyay Soma |
| author_facet | Pal Manidip Bandyopadhyay Soma |
| author_sort | Pal Manidip |
| collection | DOAJ |
| description | Urinary bladder is an adjacent viscus susceptible for intraoperative injury during cesarean section (CS). Prolonged labor, scarred uterus, intraabdominal adhesion, emergency CS, advanced labor, cesarean hysterectomy etc., are the predisposing factors for bladder injury during CS. While operating on such conditions, one should be meticulous to explore the possibility of bladder injury. Family physician practicing community obstetrics should be aware of this and know how to tackle this. Usually the dome of the bladder is injured and the trigonal area remains away from the injury field by 6–10 cm. Bladder rent is repaired in two layers either by continuous simple or interrupted suture with 3-0 & 2-0 polyglycolic acid suture. Suprapubic cystostomy and transurethral catheter are kept for 10–14 days. While postoperative adhesion, CS during full dilatation of cervix, abnormal anatomy etc., may not proceed for negligence, bladder injury in normal patients and unrecognized intraoperative bladder injury may attract penalty from the consumer court. |
| first_indexed | 2024-12-21T10:20:24Z |
| format | Article |
| id | doaj.art-65c30fc89d744320b47086b12221aa45 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-12-21T10:20:24Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-65c30fc89d744320b47086b12221aa452022-12-21T19:07:28ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01994526452910.4103/jfmpc.jfmpc_586_20Cesarean bladder injury – obstetrician's nightmarePal ManidipBandyopadhyay SomaUrinary bladder is an adjacent viscus susceptible for intraoperative injury during cesarean section (CS). Prolonged labor, scarred uterus, intraabdominal adhesion, emergency CS, advanced labor, cesarean hysterectomy etc., are the predisposing factors for bladder injury during CS. While operating on such conditions, one should be meticulous to explore the possibility of bladder injury. Family physician practicing community obstetrics should be aware of this and know how to tackle this. Usually the dome of the bladder is injured and the trigonal area remains away from the injury field by 6–10 cm. Bladder rent is repaired in two layers either by continuous simple or interrupted suture with 3-0 & 2-0 polyglycolic acid suture. Suprapubic cystostomy and transurethral catheter are kept for 10–14 days. While postoperative adhesion, CS during full dilatation of cervix, abnormal anatomy etc., may not proceed for negligence, bladder injury in normal patients and unrecognized intraoperative bladder injury may attract penalty from the consumer court.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=9;spage=4526;epage=4529;aulast=Manidipcesarean sectioninjurylayer repairmedico-legalurinary bladder |
| spellingShingle | Pal Manidip Bandyopadhyay Soma Cesarean bladder injury – obstetrician's nightmare Journal of Family Medicine and Primary Care cesarean section injury layer repair medico-legal urinary bladder |
| title | Cesarean bladder injury – obstetrician's nightmare |
| title_full | Cesarean bladder injury – obstetrician's nightmare |
| title_fullStr | Cesarean bladder injury – obstetrician's nightmare |
| title_full_unstemmed | Cesarean bladder injury – obstetrician's nightmare |
| title_short | Cesarean bladder injury – obstetrician's nightmare |
| title_sort | cesarean bladder injury obstetrician s nightmare |
| topic | cesarean section injury layer repair medico-legal urinary bladder |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=9;spage=4526;epage=4529;aulast=Manidip |
| work_keys_str_mv | AT palmanidip cesareanbladderinjuryobstetriciansnightmare AT bandyopadhyaysoma cesareanbladderinjuryobstetriciansnightmare |