PDF(Pubmed)
Abstract：
Iatrogenic injury of the bladder is a rare incidence during inguinal hernia repair in children, with serious consequences for such patients. Due to the scarcity of information on this matter, it is our goal to share our experience regarding the therapeutic approach to such a rare occurrence. Specifically, a 22-month-old male was admitted to our department with the complaint of vomiting, abdominal pain and anuria, two days after inguinal hernia repair. The child had distention of the inguinal hernia region and was lethargic. The diagnostic investigation did not reveal any significant findings. During surgical exploration, we discovered an injury to the bladder, while a large part of the dome of the bladder was ligated and subsequently became necrotic. After a reoperation and an enduring postoperative course, the patient finally recovered. Currently, the child is under observation. Therefore, it is of paramount importance for pediatric surgeons to be acquainted with the potential for bladder injury during inguinal hernia repair, ways to manage this complication, and various issues that may emerge during the therapeutic process.
摘要：
在儿童腹股沟疝修补术中，医源性膀胱损伤是罕见的。对这些患者造成严重后果。由于这方面的信息匮乏,我们的目标是分享我们对这种罕见事件的治疗方法的经验。具体来说,一名22个月大的男性因呕吐入院，腹痛和无尿，腹股沟疝修补术后两天.该孩子腹股沟疝区域扩张，昏昏欲睡。诊断调查没有发现任何重大发现。在手术探查期间，我们发现膀胱损伤,而膀胱的大部分圆顶被结扎，随后坏死。在再次手术和持久的术后过程之后，病人终于康复了。目前,孩子正在观察中。因此,对于小儿外科医生来说，了解腹股沟疝修补术中膀胱损伤的可能性是至关重要的，管理这种并发症的方法，以及治疗过程中可能出现的各种问题。
