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χρόνια 1931-2021
102 2o ΠΑΝΕΛΛΗΝΙΟ ΔΙΑΤΜΗΜΑΤΙΚΟ ΣΥΝΕΔΡΙΟ ΤΗΣ ΕΛΛΗΝΙΚΗΣ ΟΥΡΟΛΟΓΙΚΗΣ ΕΤΑΙΡΕΙΑΣ
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ΘΕΣΣΑΛΟΝΙΚΗ • ΣΥΝΕΔΡΙΑΚΟ ΚΕΝΤΡΟ MAKEDONIA PALACE e - Posters
7-9 Οκτωβρίου 2021
χρόνια 1931-2021 ΟΥΡΟΛΟΓΙΚΗΣ
INTRODUCTION AND HYPOTHESIS: Trans-urethral bladder surgery has gained popularity in the fields of electro-resection and laser lithotripsy, with endoscopic suturing being overlooked. Bladder defect closure using a novel innovative pure trans-urethral suturing technique is achievable in situations where conventional management options are not feasible.
MATERIALS & METHODS: Here we describe two different cases with bladder perforation who were treated using an innovative novel technique developed by our group at two different institutions. We used a 5mm laparoscopic port with gas insufflation and a laparoscopic needle holder trans-urethrally to achieve defect closure with a monofilament 2/0 monocryl mattress suture on a small 22mm needle.
RESULTS: The defects were successfully closed without any intraoperative complications. Average operative time was 52 minutes with minimal blood loss. Bladder closure was sustained at a median follow-up of 2 years.
CONCLUSIONS: We claim that transurethral bladder suturing is quick, safe in expert hands and provides an effective option where the clinical condition/situation of the patient warrants a minimally invasive surgery approach.
P058
TRANS-URETHRAL BLADDER SUTURE IN FEMALE PATIENTS: NOT A TOUR DE FORCE BUT A QUICK AND REALISTIC ANSWER TO COMPLEX SITUATIONS
Chryssanthos Kouriefs1, Fanourios Georgiades2, Jonathan Makanjuola3, Philippe Grange3
1 Urology Department, Ygia Polyclinic Limassol
2 Department of Surgery, University of Cambridge
3 Urology Department, King's College Hospital NHS Foundation Trust