PTU - Polskie Towarzystwo Urologiczne
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E INFLUENCE OF SUTURING AND NO SUTURING OF THE PERITONEUM IN THE BOTTOM OF THE PELVIS ON THE POST-OPERATIVE CONDITION IN PATIENTS HAVING CYSTECTOMY
Article published in Urologia Polska 1988/41/1.

authors

Jędrzej Michalec, Andrzej Borkowski, Tadeusz Krzeski
Z Kliniki Urologii Instytutu Chirurgii Akademii Medycznej w Warszawie
Kierownik Kliniki: prof. dr hab. med. T. Krzeski Kierownik Instytutu: prof. dr hab. med. B. Szczygieł

summary

The article compares the post-operative process and complications in a group of 13 patients who did not have their peritoneum in the bottom of the pelvis sutured after cystectomy with a group of 17 patients who had their peritoneum sutured. The fre±uency of complications in a form of suppuration of the surgical wound or mechanical ileus was higher in patients with their peritoneum sutured. Leaving the parietal peritoneum unsutured did not delay the appearance of peri-stałsis, it enabled shortening the period of intravenous hydration of patients and resulted in a shorter period of hospitalization.
Leaving the site of the urinary bladder unsutured is a safe method having a favourable influence on the post-operative condition after cystectomy.

references

  1. 1. Glenn J. F.: Urologic surgery. J. B. Lippincott Company. Philadelphia, To­ronto, 1983, 583. ? 2. Johnson D. E., Lamy S. M.: Complications of a single stage radical cystectomy and ileal conduit diversion: review of 214 cases. J. Urol., 1977, 117, 171. ? 3. Mathur V.K., Krahn H.P., Ramsey E.W.: Total cystectomy for bladder cancer. J. Urol., 1981, 125, 784. ? 4. Skinner D.G., Craford E.D., Kauf­man J. J.: Complications of radical cystectomy for carcinoma of the bladder. J. Urol., 1980, 123, 640.