作者: Karen K. Cornell
关键词:
摘要: Knowledge of the regional anatomy and healing characteristics urinary bladder are crucial to successful surgical intervention in common disorders bladder. Innervation blood supply enter neck region on dorsal surface. Surgical approach is via a ventral midline incision. Cystotomy most commonly performed surface incision closed using absorbable suture material single-layer, appositional closure. Removal calculi indication for cystotomy should be accompanied by mucosal biopsy culture. After removal calculi, lateral radiograph made confirm all calculi. Partial cystectomy indicated trauma, neoplasia, patent urachus, urachal diverticula. A large percentage wall can excised with gradual return near normal function when trigone preserved. Complete not recommended because patient morbidity client dissatisfaction these procedures. Tube cystostomy routinely temporary or permanent diversion. Temporary diversion may concurrently repair urethral trauma relieve acute obstructions. Permanent cases neurogenic atony cancer.