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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Bladder injuries during cesarean section in a University Hospital: A 25-year review
Archives of Gynecology and Obstetrics, Volume 279, No. 3, Year 2009
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Description
Objectives: The objective was to determine the prevalence of bladder injury during cesarean section (CS) and identify the risk factors causing these injuries, their management and the outcome. Methods: We retrospectively reviewed the medical records of all the patients who had bladder injury during CS over a period of 25 years (1983-2007) at the King Fahad Hospital, Al-Khobar, Saudi Arabia. Demographic data, obstetric, surgical details, mechanism of injury, anatomic location, diagnosis, management and outcome were assessed. Results: Thirty-four cases of bladder injury were identified among 7,708 cesarean deliveries performed during this period with an overall incidence of 0.44%. Primary CS was found in 41.2% of the patients and 58.8% had repeat CS giving an incidence of 0.27 and 0.81%, respectively. Bladder injury occurred when surgical difficulties were encountered during opening of the peritoneal cavity and while developing the bladder flap over the lower uterine segment, mainly due to adhesions and scar tissue resulting from previous abdominal surgery. All the bladder injuries were recognized intraoperatively and repaired with an overall satisfactory outcome. Repeat CS and presence of adhesions were found to be statistically significant risk factors in the study, while operator experience and emergency nature of the CS were considered risk factors in a few cases of bladder injury. Conclusions: Data presented in this study indicates that bladder injury when adequately repaired is rarely associated with any complications. Multiple cesarean deliveries is a significant risk factor for bladder injury at the time of repeat CS and patients should be counseled regarding this risk before surgery. © 2008 Springer-Verlag.
Authors & Co-Authors
Rahman, Mohammad Sayedur
Saudi Arabia, Dammam
Imam Abdulrahman Bin Faisal University
Gasim, Turki G.
Saudi Arabia, Dammam
Imam Abdulrahman Bin Faisal University
Al-Suleiman, Suleiman A.
Saudi Arabia, Dammam
Imam Abdulrahman Bin Faisal University
Al-Jama, Fathia Ibrahim
Saudi Arabia, Dammam
Imam Abdulrahman Bin Faisal University
Burshaid, Sameera
Saudi Arabia, Dammam
Imam Abdulrahman Bin Faisal University
Rahman, Jessica
Saudi Arabia, Dammam
Imam Abdulrahman Bin Faisal University
Statistics
Citations: 78
Authors: 6
Affiliations: 1
Identifiers
Doi:
10.1007/s00404-008-0733-1
ISSN:
09320067
Research Areas
Health System And Policy
Maternal And Child Health
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study