Safe percutaneous suprapubic catheterisation

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Safe percutaneous suprapubic catheterisation

INTRODUCTION We describe our technique of percutaneous suprapubic catheter insertion with special reference to steps that help to avoid common complications of haematuria and catheter misplacement. METHODS The procedure is performed using a stainless steel reusable trocar under local infiltrative anaesthesia, usually at the bedside. After clinical confirmation of a full bladder, the trocar i...

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INTRODUCTION Ultrasound-guided percutaneous placement of a suprapubic cystostomy is a common and generally safe procedure in everyday surgery. In case of adverse patient characteristics such as small bladder capacity or high body mass index, however, the procedure carries an increased risk of severe complications, including bowel perforation. The Suprapur(®) cystostomy set is supposed to enable...

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We present a case of small intestine injury resulting from suprapubic catheter insertion. This case is of particular interest for three reasons. Firstly, the presentation of the injury was delayed by three months, until the time of the first catheter exchange. Secondly, the injury was managed conservatively, without surgical exploration. Finally, the injury occurred using a newer, Seldinger-typ...

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Modified simple percutaneous suprapubic cystostomy.

The procedure is done under local anaesthesia. Position of the enlarged bladder is confirmed by percussion. The skin is prepared as for a standard suprapubic cystostomy, and 2% lignocaine is infiltrated in the midline 2 cm above the pubic symphysis. Using a number 11 blade a vertical cut 1-2 cm in length is made in the midline. The incision is deepened and a small cut is made in the rectus shea...

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ژورنال

عنوان ژورنال: The Annals of The Royal College of Surgeons of England

سال: 2012

ISSN: 0035-8843,1478-7083

DOI: 10.1308/003588412x13373405385412