Conservative treatment of intraperitoneal bladder perforations: a conscious choice or forced measure
- 作者: Shormanov I.S.1, Shchedrov D.N.1,2, Garova D.Y.1,2,3, Sidorova N.A.1, Babunina E.N.1
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隶属关系:
- Yaroslavl State Medical University
- Regional Pediatric Clinical Hospital
- Central City Hospital
- 期: 卷 14, 编号 2 (2024)
- 页面: 187-196
- 栏目: Reviews
- URL: https://journals.eco-vector.com/uroved/article/view/628922
- DOI: https://doi.org/10.17816/uroved628922
- ID: 628922
如何引用文章
详细
Intraperitoneal traumatic perforations of the bladder of any origin (e.g., external trauma, iatrogenic injuries) and spontaneous ruptures are conditions that, according to the canons of surgery, require emergency surgical intervention by one or another access. However, some studies have indicated the possibility of conservative management of such patients — both adults and children. A review of publications describing the results of conservative treatment of patients with intraperitoneal bladder perforations was performed. Overall, 2,679 publications related to intraperitoneal perforations of the bladder were found in the available scientific databases, of which only 72 focused on issues of conservative treatment. In 13 of them, the possibility of such an approach is denied, but without reference to their own material. Analysis of the literature demonstrated that conservative management of intraperitoneal perforations of the may be feasible in certain circumstances, sometimes being a crucial measure. Indications for conservative treatment techniques include the absence of peritonitis, small perforation size, and short periods from the moment of perforation. However, all these indications are in the nature of opinions and assumptions and are not part of algorithmic tactics. The effectiveness of this approach remains unclear. The frequency of unsatisfactory outcomes ranges from 10% to 50%, which indicates the inappropriateness of conservative treatment. With the small number of studies and conflicting results obtained prohibits us to consider this technique as the method of choice for treating patients with intraperitoneal perforations of the bladder.
作者简介
Igor Shormanov
Yaroslavl State Medical University
Email: i-s-shormanov@yandex.ru
ORCID iD: 0000-0002-2062-0421
SPIN 代码: 7772-8420
Scopus 作者 ID: 6507085029
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, YaroslavlDmitrii Shchedrov
Yaroslavl State Medical University; Regional Pediatric Clinical Hospital
Email: shedrov.dmitry@yandex.ru
ORCID iD: 0000-0002-0686-0445
SPIN 代码: 7354-7379
MD, Dr. Sci. (Medicine)
俄罗斯联邦, Yaroslavl; YaroslavlDarya Garova
Yaroslavl State Medical University; Regional Pediatric Clinical Hospital; Central City Hospital
编辑信件的主要联系方式.
Email: dar.garova@yandex.ru
ORCID iD: 0000-0003-4457-9694
SPIN 代码: 5789-8889
MD
俄罗斯联邦, Yaroslavl; Yaroslavl; Yaroslavl
Natalia Sidorova
Yaroslavl State Medical University
Email: nsidorova775@gmail.com
ORCID iD: 0009-0000-3624-8639
俄罗斯联邦, Yaroslavl
Ekaterina Babunina
Yaroslavl State Medical University
Email: babuninakatusha2002@mail.ru
ORCID iD: 0009-0001-8651-279X
俄罗斯联邦, Yaroslavl
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