Cystosufflation to Prevent Bladder Injury during Single Incision Laparoscopic Management of an Incisional Ventral Hernia

Ross O. Downes

Department of General Surgery, Doctors Hospital Nassau, Bahamas

^*Correspondance to: Ross O. Downes 

 PDF  Full Text DOI: 10.25107/2474-1647.2077

Abstract

Background: Scarless/single-incision laparoscopy is becoming popular but still faces much criticism.The technique aims to reduce the risk of trocar-induced organ injury in the patient with previous abdominal surgery. We examine the application of this technique combined with cystosufflation in a patient with bladder herniation through an incisional ventral hernia. This case presentation outlines our experience using this method with initial evaluation of the safety, feasibility, and benefits of this procedure.Methods: We examine the account of the Single incision laparoscopic repair of an incision hernia containing the urinary bladder. To perform the operation, a 2.5 cm linear left flank incision was made and the single port platform utilized. Carbon dioxide insufflation of the bladder was utilized to define its boundaries and accomplish safe adhesiolysis during the procedure.Results: The procedure was completed safely without any adverse outcomes.Conclusion: Our lateral approach technique combined with cystosufflation is effective in identifying a plane between the bladder and organ structures/dense adhesions of the anterior abdominal wall especially in women who have undergone gynecological procedures.

Keywords

Laparoscopy; Single incision; Single port; Incisional hernia; Urinary bladder; Cystosufflation; Carbon dioxide

Cite the article

Downes RO. Cystosufflation to Prevent Bladder Injury during Single Incision Laparoscopic Management of an Incisional Ventral Hernia. Clin Surg. 2018; 3: 2077.