Dr. med. Dirk Manski



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Cystolithotomy: Surgery for Bladder Stones

Cystolithotomy (sectio alta) is the surgical removal of bladder stones via a lower abdominal incision. The term sectio alta refers to the historical techniques of bladder stone surgery, since in former times perineal surgery was common (sectio lateralis and sectio mediana).

Indications for Sectio Alta

Contraindications for Cystolithotomy

Contraindications for planned surgery are: coagulation disorders, untreated urinary tract infection, bladder cancer.

Surgical Technique of Cystolithotomy

Preoperative Patient Preparation

Surgical Technique

Care after Cystolithotomy

General measures:

Early mobilization. Thrombosis prophylaxis. Analgesia with e.g. metamizol and tramadol. Laboratory controls (Hb). Wound inspections.

Drains and Catheters:

Complications of Cystolithotomy

Urinary tract infection, bleeding, wound infection, urinoma, thrombosis, pulmonary embolism.







Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z



References



  Deutsche Version: Sectio alta