The safety and feasibility of the single port laparoscopic repair of intra-peritoneal bladder rupture.

Objective: To evaluate the efficacy and safety of laparoendoscopic single-site surgery (LESS) in the repair of intraperitoneal bladder rupture. Patients and Methods: All consecutive patients who underwent LESS for intraperitoneal bladder rupture in three hospitals in Korea were included prospectively in this study. LESS was performed using a homemade single-port device composed of an Alexis wound retractor and a surgical glove. Results: Of the 22 patients, 18 were male. The mean age was 40.5011.83 years. The mean body mass index was 24.19 +/- 2.61kg/m(2). The cause of rupture was trauma (n=21) or iatrogenic injury (n=1). The mean bladder rupture diameter was 3.41 +/- 1.01cm. LESS bladder rupture repair was completed effectively in all patients. The mean operative time was 89.05 +/- 11.29 minutes. The mean length of hospital stay was 2.91 +/- 0.53 days. Postoperatively, none of the patients required patient-controlled analgesia, and none developed major complications. The urethral Foley catheter was removed 7.68 +/- 2.08 days after surgery. Conclusions: LESS repair of intraperitoneal bladder rupture, which involves a homemade single-port device, was a feasible and safe alternative to conventional laparoscopy in this case series.