scholarly journals A Novel Vesicoscopic Bladder Wall Suture Fixation Technique to Aid Endoscopic Vesicostomy Button Insertion

2017 ◽  
Vol 11 (3) ◽  
pp. 157-162 ◽  
Author(s):  
Ahmed Adam ◽  
Jayveer Sookram
Keyword(s):  
Anterior Abdominal Wall ◽  
Bladder Wall ◽  
Absorbable Suture ◽  
Fixation Technique ◽  
Puncture Site ◽  
Intravenous Cannula ◽  
Bladder Dome ◽  
Suture Thread ◽  
Level 2 ◽  
Simple Fixation

Background: To describe a novel bladder fixation technique for use during endoscopic vesicostomy button insertion. Methods: After standard cystoscopic visualization of the bladder, a standard 18 G intravenous cannula was inserted into the bladder. A non-absorbable suture thread was placed through this intravenous cannula under cystoscopic vision. The proximal end of the suture was then removed using standard ureteroscopic grasping forceps (3 Fr) through another needle (15 G) inserted next to the initial puncture site (following a path at 30 degrees from the initial puncture tract) into the bladder. The suture ends were brought out of the bladder and tied at the skin level, 2 cm from the intended vesicostomy site. Sutures were removed on the second postoperative day. Results: This fixation technique allows for adequate fixation of the bladder dome to the anterior abdominal wall. These sutures also have less potential for cutaneous scarring and pain. No complications were reported. Conclusion: This simple fixation technique is easily performed using materials found in every urology suite. It also avoids the skills required with other previously reported fixation suture techniques, and can also be utilized for bladder fixation in cases of vesicoscopic laparoscopic or robotic assisted laparoscopic procedures.

scholarly journals Urachal Tumor: A Case Report of an Extremely Rare Carcinoma

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
José Palla Garcia ◽  
Rita Sampaio ◽  
Carlos Peixoto
Keyword(s):  
Anterior Abdominal Wall ◽  
Bladder Wall ◽  
Disease Recurrence ◽  
Rare Tumor ◽  
Past Medical History ◽  
Third Trimester ◽  
Surgical Specimen ◽  
The Third ◽  
Mucosal Erosion

The urachus is a tubular structure that connects the bladder to the allantois in the embryonic development, involuting after the third trimester. The urachus carcinoma is an extremely rare tumor that accounts for <1% of all bladder cancers. We report a case of a 46-year-old woman, with no past medical history, complaining of hematuria with 6-month duration and a physical exam and an abdominal computed topographic scan revealing an exophytic mass of 6.8 cm longer axis that grew depending on the anterior bladder wall, invading the anterior abdominal wall. Cystoscopy detected mucosal erosion. The biopsy showed structures of adenocarcinoma of enteric type. The surgical specimen showed urachus adenocarcinoma of enteric type with stage IVA in the Sheldon system and stage III in the Mayo system. This case has a 3-year follow-up without disease recurrence.

scholarly journals Metastatic plasmacytoid bladder cancer causing malignant priapism

2019 ◽  
Vol 12 (7) ◽  
pp. e228088
Author(s):  
Ryan Pereira ◽  
Marlon Perera ◽  
Handoo Rhee
Keyword(s):  
Bladder Cancer ◽  
Anterior Abdominal Wall ◽  
Subcutaneous Tissue ◽  
Bladder Wall ◽  
Transitional Cell ◽  
Penile Shaft ◽  
Iliac Region ◽  
Left Flank ◽  
Bladder Disease ◽  
Malignant Priapism

An 81-year-old man presented to medical services with pelvic pain and evolving urinary retention over 3 months. The patient was found to have a tense glans and penile shaft with surrounding induration consistent with malignant priapism. The extent of the induration included the suprapubic region, scrotum, left iliac region and left flank. A CT scan demonstrated an enhancing, pedunculated lesion arising from the anterior bladder wall measuring 30×31×20 mm. There were multiple enlarged left inguinal lymph nodes. Core biopsies of the subcutaneous tissue on the anterior abdominal wall demonstrated plasmacytoid urothelial carcinoma. The majority of patients with plasmacytoid variant of transitional cell carcinoma will present with >stage 3 bladder disease

scholarly journals Technique of Midline Abdominal Incision Closure Among Surgical Trainees

2020 ◽  
Vol 17 (2) ◽  
pp. 72-75
Author(s):  
Alex Muturi ◽  
Kotecha Vihar ◽  
Pulei Ann ◽  
Maseghe Philip
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Tertiary Hospital ◽  
Fascial Closure ◽  
Wound Complications ◽  
Absorbable Suture ◽  
Abdominal Wall Closure ◽  
Abdominal Incision ◽  
Abdominal Closure ◽  
Surgical Trainees

Background: Technique of anterior abdominal wall closure (AAWC) determines wound-related surgical complications. Residents in obstetrics and gynecology and surgery departments perform most midline abdominal wall closure; data is lacking on how it is being done. This study identifies abdominal wall closure techniques used. Methods: A descriptive study was carried out from October 2015 to May 2016. Results: 71 (35 surgical, 36 ObGyn) residents completed a self-administered questionnaire. Knowledge of midline abdominal closure was acquired from medical officers (58.6%) or consultants before residency (28.6%). Absorbable suture was preferred for clean wounds by 75% of residents; 70% used size 1 suture for fascial closure. Most residents (95.7%) closed fascia in clean wound by continuous suturing. Interrupted suturing was preferred in contaminated and dirty wounds. Half of the residents in both groups would close skin in contaminated wounds, while 16% of surgery and 9.4% ObGyn will close skin in dirty wounds. Conclusion: Inconsistencies exist in anterior abdominal wall closure between groups of residents despite presence of clear guidelines. It is important to harmonize training on AAWC at the tertiary hospital. Keywords: Abdominal closure, Midline incision, Wound complications

scholarly journals Kyste De L’ouraque Infecte : A Propos De Trois Cas Cliniques Au Chu De Parakou Au Benin

2016 ◽  
Vol 12 (3) ◽  
pp. 134
Author(s):  
Hodonou Montcho Adrien ◽  
Allodé Salako Alexandre ◽  
Tamou sambo Bio ◽  
Ossé Martin ◽  
Moumouni Amina ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Ultrasound Examination ◽  
Anterior Abdominal Wall ◽  
Urachal Cyst ◽  
Common Complication ◽  
Bladder Dome ◽  
Clinical Cases

Bacground: The urachus is a fibrous remnant of the allantois. That connects the bladder dome to the anterior abdominal wall. After birth it is obliterated in general. In some cases it may persist as cyst , fistula , sinus or diverticulum. This persistence of the urachus often is signaled by a complication. Infection is the most common complication and the most dangerous is his degeneration. The infection can be misunderstood and confused with other pathologies of the navel. Methods: Our study reports three clinical cases of infected urachal cyst. Result: these report cases illustrate the need to think of this diagnosis before the painful of the navel and abdomen. The ultrasound examination can help for the diagnosis.

scholarly journals The use of two K-wires in cross-leg free flap as a simple fixation technique together with -Y- artery anastomosis

2017 ◽  
Vol 6 (2) ◽  
pp. 1
Author(s):  
Adem Topkara ◽  
Adem Ozkan ◽  
Ramazan Ozcan ◽  
Ali Yorukoglu
Keyword(s):  
Free Flap ◽  
Fixation Technique ◽  
K Wires ◽  
Simple Fixation
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