Keywords
Pelvis
Wounds and injuries
Multiple trauma
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Abstract
Objective: To analyze the characteristics and incidence of bladder trauma over a five-year period in a general hospital in the state of Alagoas. Methods: Quantitative, analytical, observational and cross-sectional study, descriptive statistical methods were used to analyze the variables. Results: Bladder lesions were found in 63 patients, analysis of medical records was obtained from 2010 to 2015. Mean age of 26.2 years, with extremes between 15 and 56 and standard deviation of 9.85 (confidence interval of 95%). Most were (76.2%) male. Penetrating trauma was responsible for 65.07% of the cases, mostly (97.56%) resulting from firearm injuries. The diagnostic method was predominantly intraoperative (82.53%). The most frequent injuries were of the bladder dome (23.8%), anterior and posterior wall (11.11%). The treatment of choice was surgical in 88.89% and conservative in the others. The overall mortality rate for bladder trauma was 7.93% and the median survival 88.87%. Conclusion: The data found are, for the most part, consistent with the world literature on bladder trauma, differing in terms of etiology, diagnostic method and adopted treatment. Such distinctions can be justified by the local characteristics and the studied hospital.
References
BAIN K, et al. FAST examination diagnosing bladder rupture following blunt pelvic trauma. British Medical Journal Case Report, 2018; bcr2017223933.
BARNARD J, et al. Traumatic Bladder Ruptures: A Ten-Year Review at a Level 1 Trauma Center. Advances in Urology, 2019; 2614586.
BATISTA SEA, et al. Análise comparativa entre os mecanismos de trauma, as lesões e o perfil de gravidade das vítimas, em Catanduva-SP. Rev. Col. Bras. Cir., 2006; 33(1): 6-10.
CURY J, GUGLIELMETTI GB. Trauma Genitourinário. In: NARDOZZA AJ, et al. Urologia Fundamental - Sociedade Brasileira de Urologia. São Paulo: Planark, 2010; 302-304.
ELKBULI A, et al. Management of blunt intraperitoneal bladder rupture: case report and literature review. International Journal of Surgery Case Reports, 2019; 55: 160-163.
GOMEZ RG, et al. Consensus statement on bladder injuries. BJU Int., 2004; 94(1): 27-32.
HERTZ AM, et al. Identifying Bladder Rupture Following Traumatic Rupture Following Traumatic Pelvic Fracture: A Machine Learning Approach. Injury, 2020; 51(2): 334-339.
KIVLIN D, et al. A Case Series of Spontaneous Rupture of the Urinary Bladder. Curr. Urol., 2015; 8(1): 53–56.
KHADJIBAEV AM, et al. Bladder trauma: a 7 year review. Urol. Nephrol. Open Access J., 2016; 5(3): 00175.
LIMA SO, et al. Avaliação epidemiológica das vítimas de trauma abdominal submetidas ao tratamento cirúrgico. Rev. Col. Bras. Cir., 2012; 39(4): 302-306.
LYNCH TH, et al. EAU guidelines on urological trauma. Eur. Urol., 2005; 47(1): 1-15.
MAHAT Y, et al. A contemporary review of a adult bladder trauma. J. Inj. Violence Res., 2019; 11(2): 101-106.
NÁCUL MP, et al. Videolaparoscopia no trauma abdominal contuso. Rev. Bras. Videocir., 2005; 3(4): 196-207.
PEREIRA BMT, et al. Bladder injuries after external trauma: 20 years experience report in a population-based cross-sectional view. World J. Urol., 2013; 31(4): 913–917.
PHILLIPS B, et al. Trauma to the bladder and ureter: a review of diagnosis, management, and prognosis. Eur. J. Trauma Emerg. Surg., 2017; 43(6): 763-773.
QUAGLIANO PV, et al. Diagnosis of blunt bladder injury: A prospective comparative study of computed tomography cystography and conventional retrograde cystography. J. Trauma, 2006; 61(2): 410-421.
RODDER K, et al. Bladder injury diagnostics and treatment. Urologe A., 2005; 44(8): 878 – 82.
TONKIN JB, et al. Assessment and initial management of urologic trauma. Med. Clin. North Am., 2011; 95(1): 245-251.
VEGA CV, et al. Experiencia del manejo del trauma vesical en Hospital de Urgencia Asistencia Pública. Revisión de cinco años, 2005-2009. Rev. ANACEM, 2012; 6(2): 76-79.
XISHUANG S, et al. Comparing the safety and efficiency of conventional monopolar, plasmakinetic, and holmium laser transurethral resection of primary non-muscle invasive bladder cancer. J. Endourol., 2010; 24(1): 69-73.
WIRTH GJ, et al. Advances in the management of blunt traumatic bladder rupture: experience with 36 cases. BJU Int., 2010; 106(9): 1344-1349.
ZINMAN LN, VANNI AJ. Surgical management of urologic trauma and iatrogenic injuries. Surg. Clin. North Am., 2016; 96(3): 425-439.