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Laparoscopic and cystoscopic-assisted suprapubic catheter insertion: A case study and technical note

OBJECTIVE: To describe a new technique for suprapubic urinary catheterisation that can be used in selected patients with high anaesthetic risk, and previous lower abdominal surgery and bowel adhesions. PATIENT AND METHODS: In a 33-year-old woman, laparoscopic guidance with cystoscopic vision was use...

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Detalles Bibliográficos
Autores principales: Tourky, Mohamed, Knight, Ross, Rajagopal, Ramesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4656804/
https://www.ncbi.nlm.nih.gov/pubmed/26609450
http://dx.doi.org/10.1016/j.aju.2015.08.002
Descripción
Sumario:OBJECTIVE: To describe a new technique for suprapubic urinary catheterisation that can be used in selected patients with high anaesthetic risk, and previous lower abdominal surgery and bowel adhesions. PATIENT AND METHODS: In a 33-year-old woman, laparoscopic guidance with cystoscopic vision was used to ensure the safe passage of a suprapubic catheter. RESULTS: The suprapubic catheter was successfully inserted in this challenging patient; release of adhesions allowed for the passage of the catheter without bowel injury. CONCLUSION: Laparoscopic and cystoscopic-assisted suprapubic catheter insertion is a novel technique to avoid significant morbidity and mortality in selected patients with high anaesthetic risk, and previous lower abdominal surgery and bowel adhesions.