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Parietal Peritoneal Flap for Post-radiation Bladder Injury Repair

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Indian Journal of Surgical Oncology Aims and scope Submit manuscript

Abstract

Inadvertent bladder injuries during pelvic surgery are not uncommon. Repair of these cystotomies are generally easy. However, post-radiation, the urinary bladder becomes contracted, friable and difficult to heal. Injuries in this setting present a treatment dilemma especially when there is absence of viable native tissue such as omentum for tissue buttress. The authors report a case of parietal peritoneal flap for post-radiation bladder injury repair based on twigs from the inferior epigastric vessels. This flap being easy to perform is believed to be a viable alternative to musculocutaneous flaps especially in the emergency setting.

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Abbreviations

VVF:

Vesicovaginal fistula

Gy:

Grey

CT:

Computerised tomogram

NACT:

Neoadjuvant chemotherapy

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Authors and Affiliations

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

    D Sridhar, KVVN Raju, Rakesh Sharma,  Jayakarthik, Madhu Narayana & Syed Ahmed Murtaza

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  1. D Sridhar
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  2. KVVN Raju
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  3. Rakesh Sharma
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  4. Jayakarthik
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  5. Madhu Narayana
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  6. Syed Ahmed Murtaza
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Correspondence to D Sridhar or KVVN Raju.

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Sridhar, D., Raju, K., Sharma, R. et al. Parietal Peritoneal Flap for Post-radiation Bladder Injury Repair. Indian J Surg Oncol 13, 594–597 (2022). https://doi.org/10.1007/s13193-021-01485-4

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  • DOI: https://doi.org/10.1007/s13193-021-01485-4

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