Analysis of 2 cases of intravesical explosion in the process of transurethral resection of bladder tumor
Author(s): Zhao Xiaolei, Du Xinyi, Xu Wenchao, Hou Junqing, Xu Weibo, Chang Junkai, Department of Urology, the Huaihe Hospital of Henan University
Pages: 58+60
Year: 2014 Issue: 15
Journal: Chinese Community Doctors
Keyword: Transurethral resection of bladder tumor; Explosion; Rupture of bladder;
Abstract: Objective:To investigate the causes and preventive measures of bladder explosion during transurethral resection of bladder tumor.Methods:Retrospective analysis of 2 patients with bladder explosion happened in the process of operation.Results:2 patients with intravesical explosion were happened in retransurethral resection or electric coagulation after continuous cutting and the use of Ellick bulb syringe irrigation of bladder.1 cases with bladder irregular rupture was given cystectomy bilateral cutaneous ureterostomy in emergency;1 cases with mucosa rupture and muscle layer intact was given hemostasis under electricity cut mirror.2 patients recovered well after operation,and they were discharged from hospital.Conclusion:Bladder exploded happened suddenly,and often occur in the patients with many tumors and it located in the anterior wall or the top wall of the bladder.The main reason was entered amount of air when washing bladder,when it mixed with combustible gas of bladder,then triggered the explosion if meet electric spark,it will leading to rupture of bladder easily.If we can taking preventive measures,emptying bladder gas timely,minimizing the surrounding gas retention when operating the diathermy loop,we will prevent the occurrence of bladder explosion.
Pages: 58+60
Year: 2014 Issue: 15
Journal: Chinese Community Doctors
Keyword: Transurethral resection of bladder tumor; Explosion; Rupture of bladder;
Abstract: Objective:To investigate the causes and preventive measures of bladder explosion during transurethral resection of bladder tumor.Methods:Retrospective analysis of 2 patients with bladder explosion happened in the process of operation.Results:2 patients with intravesical explosion were happened in retransurethral resection or electric coagulation after continuous cutting and the use of Ellick bulb syringe irrigation of bladder.1 cases with bladder irregular rupture was given cystectomy bilateral cutaneous ureterostomy in emergency;1 cases with mucosa rupture and muscle layer intact was given hemostasis under electricity cut mirror.2 patients recovered well after operation,and they were discharged from hospital.Conclusion:Bladder exploded happened suddenly,and often occur in the patients with many tumors and it located in the anterior wall or the top wall of the bladder.The main reason was entered amount of air when washing bladder,when it mixed with combustible gas of bladder,then triggered the explosion if meet electric spark,it will leading to rupture of bladder easily.If we can taking preventive measures,emptying bladder gas timely,minimizing the surrounding gas retention when operating the diathermy loop,we will prevent the occurrence of bladder explosion.
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