Ahmed Adam1,2,3, Jayveer Sookram1,2,3. 1. Department of Urology, Helen Joseph Hospital. 2. Department of Pediatric Urology, Rahima Moosa Mother and Child (Coronation) Hospital. 3. The Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Abstract
BACKGROUND: To describe a novel bladder fixation technique for use during endoscopic vesicostomy button insertion. METHODS: After standard cystoscopic visualization of the bladder, a standard 18 G intravenous cannula was inserted into the bladder. A non-absorbable suture thread was placed through this intravenous cannula under cystoscopic vision. The proximal end of the suture was then removed using standard ureteroscopic grasping forceps (3 Fr) through another needle (15 G) inserted next to the initial puncture site (following a path at 30 degrees from the initial puncture tract) into the bladder. The suture ends were brought out of the bladder and tied at the skin level, 2 cm from the intended vesicostomy site. Sutures were removed on the second postoperative day. RESULTS: This fixation technique allows for adequate fixation of the bladder dome to the anterior abdominal wall. These sutures also have less potential for cutaneous scarring and pain. No complications were reported. CONCLUSION: This simple fixation technique is easily performed using materials found in every urology suite. It also avoids the skills required with other previously reported fixation suture techniques, and can also be utilized for bladder fixation in cases of vesicoscopic laparoscopic or robotic assisted laparoscopic procedures.
BACKGROUND: To describe a novel bladder fixation technique for use during endoscopic vesicostomy button insertion. METHODS: After standard cystoscopic visualization of the bladder, a standard 18 G intravenous cannula was inserted into the bladder. A non-absorbable suture thread was placed through this intravenous cannula under cystoscopic vision. The proximal end of the suture was then removed using standard ureteroscopic grasping forceps (3 Fr) through another needle (15 G) inserted next to the initial puncture site (following a path at 30 degrees from the initial puncture tract) into the bladder. The suture ends were brought out of the bladder and tied at the skin level, 2 cm from the intended vesicostomy site. Sutures were removed on the second postoperative day. RESULTS: This fixation technique allows for adequate fixation of the bladder dome to the anterior abdominal wall. These sutures also have less potential for cutaneous scarring and pain. No complications were reported. CONCLUSION: This simple fixation technique is easily performed using materials found in every urology suite. It also avoids the skills required with other previously reported fixation suture techniques, and can also be utilized for bladder fixation in cases of vesicoscopic laparoscopic or robotic assisted laparoscopic procedures.
Authors: Charles J Aprahamian; Traci L Morgan; Carroll M Harmon; Keith E Georgeson; Douglas C Barnhart Journal: J Laparoendosc Adv Surg Tech A Date: 2006-12 Impact factor: 1.878
Authors: Neil Nixdorff; Jennifer Diluciano; Todd Ponsky; Walter Chwals; Robert Parry; Scott Boulanger Journal: Surg Endosc Date: 2009-12-09 Impact factor: 4.584