Sökning: WFRF:(Silva Jose Luis) > Endoscopic closure ...
Fältnamn | Indikatorer | Metadata |
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000 | 04203naa a2200409 4500 | |
001 | oai:gup.ub.gu.se/108628 | |
003 | SwePub | |
008 | 240910s2009 | |||||||||||000 ||eng| | |
024 | 7 | a https://gup.ub.gu.se/publication/1086282 URI |
024 | 7 | a https://doi.org/10.1016/j.eururo.2008.06.0102 DOI |
040 | a (SwePub)gu | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Lima, Estevao4 aut |
245 | 1 0 | a Endoscopic closure of transmural bladder wall perforations. |
264 | 1 | b Elsevier BV,c 2009 |
520 | a BACKGROUND: Traditionally, intraperitoneal bladder perforations caused by trauma or iatrogenic interventions have been treated by open or laparoscopic surgery. Additionally, transvesical access to the peritoneal cavity has been reported to be feasible and useful for natural orifice translumenal endoscopic surgery (NOTES) but would be enhanced by a reliable method of closing the vesicotomy. OBJECTIVE: To assess the feasibility and safety of an endoscopic closure method for vesical perforations using a flexible, small-diameter endoscopic suturing kit in a survival porcine model. DESIGN, SETTING, AND PARTICIPANTS: This pilot study was performed at the University of Minho, Braga, Portugal, using six anesthetized female pigs. INTERVENTIONS: Closure of a full-thickness longitudinal incision in the bladder dome (up to 10 mm in four animals and up to 20 mm in two animals) with the endoscopic suturing kit using one to three absorbable stitches. MEASUREMENTS: The acute quality of sealing was immediately tested by distending the bladder with methylene-blue dye under laparoscopic control (in two animals). Without a bladder catheter, the animals were monitored daily for 2 wk, and a necropsy examination was performed to check for the signs of peritonitis, wound dehiscence, and quality of healing. RESULTS AND LIMITATIONS: Endoscopic closure of bladder perforation was carried out easily and quickly in all animals. The laparoscopic view revealed no acute leak of methylene-blue dye after distension of the bladder. After recovery from anaesthesia, the pigs began to void normally, and no adverse event occurred. Postmortem examination revealed complete healing of vesical incision with no signs of infection or adhesions in the peritoneal cavity. No limitations have yet been studied clinically. CONCLUSIONS: This study demonstrates the feasibility and the safety of endoscopic closure of vesical perforations with an endoscopic suturing kit in a survival porcine model. This study provides support for further studies using endoscopic closure of the bladder which may lead to a new era in management of bladder rupture and adoption of the transvesical port in NOTES procedures. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng |
700 | 1 | a Rolanda, Carla4 aut |
700 | 1 | a Osório, Luís4 aut |
700 | 1 | a Pêgo, José M4 aut |
700 | 1 | a Silva, David4 aut |
700 | 1 | a Henriques-Coelho, Tiago4 aut |
700 | 1 | a Carvalho, José L4 aut |
700 | 1 | a Bergström, Maria,d 1964u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery4 aut0 (Swepub:gu)xbergq |
700 | 1 | a Park, Per-Ola,d 1950u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery4 aut0 (Swepub:gu)xparpe |
700 | 1 | a Mosse, Charles A4 aut |
700 | 1 | a Swain, Paul4 aut |
700 | 1 | a Correia-Pinto, Jorge4 aut |
710 | 2 | a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för kirurgi4 org |
773 | 0 | t European urologyd : Elsevier BVg 56:1, s. 151-7q 56:1<151-7x 1873-7560x 0302-2838 |
856 | 4 | u http://repositorium.sdum.uminho.pt/bitstream/1822/67597/1/Lima-2009-Endoscopic-closure-of-transmural-bl.pdf |
856 | 4 8 | u https://gup.ub.gu.se/publication/108628 |
856 | 4 8 | u https://doi.org/10.1016/j.eururo.2008.06.010 |
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