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Parietal Peritoneal Flap for Post-radiation Bladder Injury Repair.

D Sridhar¹, Kvvn Raju¹, Rakesh Sharma¹

¹Department of Surgical Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, 500034 India.

Indian Journal of Surgical Oncology

|October 3, 2022

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Bladder injuries after pelvic surgery can be challenging, especially post-radiation. A parietal peritoneal flap offers a viable, easy-to-perform alternative for repairing these difficult bladder injuries.

Area of Science:

Urology
Surgical Oncology
Reconstructive Surgery

Background:

Inadvertent bladder injuries (cystotomies) are common during pelvic surgery.
Post-radiation changes make the urinary bladder contracted, friable, and difficult to heal.
Repairing these injuries is challenging due to poor tissue viability and lack of native tissue for buttressing.

Purpose of the Study:

To present a case of using a parietal peritoneal flap for repairing a post-radiation bladder injury.
To evaluate the efficacy of this flap as an alternative to traditional methods.

Main Methods:

A case report detailing the surgical technique.
Utilized a parietal peritoneal flap based on inferior epigastric vessels.
The flap was used to buttress the bladder repair in a patient with post-radiation injury.

Keywords:

Bladder injury Peritoneal flap

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Main Results:

The parietal peritoneal flap was successfully employed for bladder injury repair.
This technique is considered easy to perform, especially in emergency situations.
It provides a viable alternative to more complex musculocutaneous flaps.

Conclusions:

Parietal peritoneal flaps are a feasible and effective option for managing post-radiation bladder injuries.
This technique simplifies repair, particularly when viable native tissue is absent.
It represents a valuable alternative in reconstructive urology and emergency surgical settings.