Removal of long, complex foreign bodies from bladder using single laparoscopic port under pneumovesicum

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Whereas the majority of foreign bodies are managed endoscopically, complex objects, or those associated with significant injury, may require open removal. However, with the advent of newer, minimally invasive techniques, these objects can be successfully removed by using laparoscopic instruments. In this article, we describe our experience of using a single 5-mm laparoscopic port under pneumovesicum for removal of a knotted electric wire measuring 149cm in length, with minimal invasiveness and avoidance of urethral injury. Using a cystoscope as the optical device through the urethra, a port can be introduced suprapubically. After insufflations of carbon dioxide at 12mm Hg, the knotted electric cables were fragmented into several parts by laparoscopic scissor, then these parts were removed one by one. The optimal removal technique is dictated primarily by the nature of the foreign body. This case presents the feasibility of the pneumovesicum method in using a single laparoscopic port in cases of long, complex objects in the adult bladder.

Original languageEnglish
Pages (from-to)639-642
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume20
Issue number7
DOIs
Publication statusPublished - 2010 Sep 1

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Foreign Bodies
Urinary Bladder
Cystoscopes
Optical Devices
Insufflation
Wounds and Injuries
Urethra
Carbon Dioxide

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Removal of long, complex foreign bodies from bladder using single laparoscopic port under pneumovesicum",
abstract = "Whereas the majority of foreign bodies are managed endoscopically, complex objects, or those associated with significant injury, may require open removal. However, with the advent of newer, minimally invasive techniques, these objects can be successfully removed by using laparoscopic instruments. In this article, we describe our experience of using a single 5-mm laparoscopic port under pneumovesicum for removal of a knotted electric wire measuring 149cm in length, with minimal invasiveness and avoidance of urethral injury. Using a cystoscope as the optical device through the urethra, a port can be introduced suprapubically. After insufflations of carbon dioxide at 12mm Hg, the knotted electric cables were fragmented into several parts by laparoscopic scissor, then these parts were removed one by one. The optimal removal technique is dictated primarily by the nature of the foreign body. This case presents the feasibility of the pneumovesicum method in using a single laparoscopic port in cases of long, complex objects in the adult bladder.",
author = "Ko, {Young Hwii} and Sung-Gu Kang and Kang, {Seok Ho} and Park, {Hong Seok} and Lee, {Jeong Gu} and Je-Jong Kim and Jun Cheon",
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T1 - Removal of long, complex foreign bodies from bladder using single laparoscopic port under pneumovesicum

AU - Ko, Young Hwii

AU - Kang, Sung-Gu

AU - Kang, Seok Ho

AU - Park, Hong Seok

AU - Lee, Jeong Gu

AU - Kim, Je-Jong

AU - Cheon, Jun

PY - 2010/9/1

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N2 - Whereas the majority of foreign bodies are managed endoscopically, complex objects, or those associated with significant injury, may require open removal. However, with the advent of newer, minimally invasive techniques, these objects can be successfully removed by using laparoscopic instruments. In this article, we describe our experience of using a single 5-mm laparoscopic port under pneumovesicum for removal of a knotted electric wire measuring 149cm in length, with minimal invasiveness and avoidance of urethral injury. Using a cystoscope as the optical device through the urethra, a port can be introduced suprapubically. After insufflations of carbon dioxide at 12mm Hg, the knotted electric cables were fragmented into several parts by laparoscopic scissor, then these parts were removed one by one. The optimal removal technique is dictated primarily by the nature of the foreign body. This case presents the feasibility of the pneumovesicum method in using a single laparoscopic port in cases of long, complex objects in the adult bladder.

AB - Whereas the majority of foreign bodies are managed endoscopically, complex objects, or those associated with significant injury, may require open removal. However, with the advent of newer, minimally invasive techniques, these objects can be successfully removed by using laparoscopic instruments. In this article, we describe our experience of using a single 5-mm laparoscopic port under pneumovesicum for removal of a knotted electric wire measuring 149cm in length, with minimal invasiveness and avoidance of urethral injury. Using a cystoscope as the optical device through the urethra, a port can be introduced suprapubically. After insufflations of carbon dioxide at 12mm Hg, the knotted electric cables were fragmented into several parts by laparoscopic scissor, then these parts were removed one by one. The optimal removal technique is dictated primarily by the nature of the foreign body. This case presents the feasibility of the pneumovesicum method in using a single laparoscopic port in cases of long, complex objects in the adult bladder.

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