Bowel and Bladder Injury Repair and Follow-up after Gynecologic Surgery

Laura M. Glaser, Magdy P Milad

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Bowel and bladder injuries are relatively rare, but there can be serious complications of both open and minimally invasive gynecologic procedures. As with most surgical complications, timely recognition is key in minimizing serious patient morbidity and mortality. Diagnosis of such injuries requires careful attention to surgical entry and dissection techniques and employment of adjuvant diagnostic modalities. Repair of bowel and bladder may be performed robotically, laparoscopically, or using laparotomy. Repair of these injuries requires knowledge of anatomic layers and suture materials and testing to ensure that intact and safe repair has been achieved. The participation of consultants is encouraged depending on the primary surgeon's skill and expertise. Postoperative care after bowel or bladder injury requires surveillance for complications including repair site leak, abscess, and fistula formation.

Original languageEnglish (US)
Pages (from-to)313-322
Number of pages10
JournalObstetrics and gynecology
Volume133
Issue number2
DOIs
StatePublished - Feb 1 2019

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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