Abstract
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.
References
Sep 25, 2003·Archives of Gynecology and Obstetrics·E CaliskanA Haberal
Feb 21, 2006·The Urologic Clinics of North America·Joseph N Corriere, Carl M Sandler
Apr 2, 2009·The Journal of Obstetrics and Gynaecology Research·Shigeki MatsubaraMitsuaki Suzuki
Apr 25, 2009·International Journal of Surgery·Harold Ellis, Alison Crowe
Nov 22, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ahmed AlanwarMaii Nawara
Mar 27, 2018·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J BaronR Hershkovitz
Nov 23, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ibrahim AbdelazimBakyt Karimova
Jan 12, 2019·Obstetrics and Gynecology·Laura M Glaser, Magdy P Milad
Oct 2, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Samettin CelikSafak Hatirnaz
Feb 6, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Natalia KuznetsovaKristina Shmakova
Mar 1, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Sumalatha NaravaLeanne Bricker