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  • Trauma Kandung Kemih

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    This document discusses the anatomy, mechanisms of injury, classification, diagnostic assessments, and surgical treatment of ruptured bladder. It begins with the anatomy of the bladder, prostate, and urinary tract. Mechanisms of injury can include blunt trauma or penetrating injuries from pelvic fractures. Classification of bladder ruptures is based on cystographic findings and trauma type. Diagnostic tests include urine analysis, urine culture, abdominal x-rays, cystography, cystoscopy, and ultrasound. Surgical management depends on whether the rupture is extraperitoneal or intraperitoneal. Extraperitoneal ruptures may be treated with catheter placement or laparotomy, while intraperitoneal ruptures require surgical bladder repair. Potential complications are also outlined.

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    This document discusses the anatomy, mechanisms of injury, classification, diagnostic assessments, and surgical treatment of ruptured bladder. It begins with the anatomy of the bladder, prostate, and urinary tract. Mechanisms of injury can include blunt trauma or penetrating injuries from pelvic fractures. Classification of bladder ruptures is based on cystographic findings and trauma type. Diagnostic tests include urine analysis, urine culture, abdominal x-rays, cystography, cystoscopy, and ultrasound. Surgical management depends on whether the rupture is extraperitoneal or intraperitoneal. Extraperitoneal ruptures may be treated with catheter placement or laparotomy, while intraperitoneal ruptures require surgical bladder repair. Potential complications are also outlined.

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    7 views14 pages

    Trauma Kandung Kemih

    Uploaded by

    odol_fy
    This document discusses the anatomy, mechanisms of injury, classification, diagnostic assessments, and surgical treatment of ruptured bladder. It begins with the anatomy of the bladder, prostate, and urinary tract. Mechanisms of injury can include blunt trauma or penetrating injuries from pelvic fractures. Classification of bladder ruptures is based on cystographic findings and trauma type. Diagnostic tests include urine analysis, urine culture, abdominal x-rays, cystography, cystoscopy, and ultrasound. Surgical management depends on whether the rupture is extraperitoneal or intraperitoneal. Extraperitoneal ruptures may be treated with catheter placement or laparotomy, while intraperitoneal ruptures require surgical bladder repair. Potential complications are also outlined.

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    of 14

    REPAIR RUPTUR BULI

    ARIA ADHITYA

    Pembimbing :
    dr.Arry Rodjani. Sp.U
    Anatomy

    Gambar 1. Anatomi Buli,prostate, seminal vesicles, penis, urethra, and scrotal


    contents
    (Tanagho EA, Et al.Retrograde Instrumentation of The Urinary Tract in Smith's
    General Urology 17th ed)
    Anatomi Buli pada wanita
    (Tanagho EA, Et al.Retrograde Instrumentation of The Urinary Tract in Smith's
    General Urology 17th ed)
    MEKANISME CIDERA

    Mekanisme cidera buli


    (Tanagho EA, Et al.Retrograde Instrumentation of The Urinary Tract in Smith's
    General Urology 17th ed)
    Klasifikasi

    Klasifikasi cidera buli ekstravasasi berdasarkan gambaran cystographic


    (Hohenfellner M, Santucci RA. Emergencies in Urology. Berlin Heidelberg:Springer ;2007)

    Klasifikasi cidera buli berdasarkan tipe trauma


    (Hohenfellner M, Santucci RA. Emergencies in Urology. Berlin Heidelberg:Springer ;2007)
    Klasifikasi skala cidera pada organ menurut American Association for the Surgery of Trauma
    (Hohenfellner M, Santucci RA. Emergencies in Urology. Berlin Heidelberg:Springer ;2007)

    Grade I Grade II
    Grade III Grade III

    Grade IV Grade V
    (Hohenfellner M, Santucci RA. Emergencies in Urology. Berlin Heidelberg:Springer,2007)
    Pemeriksaan Penunjang
    Laboratorium
    • Urine : hematuria (seringkali gross, jarang mikroskopik)
    • Kultur urin

    Radiologi
    • Foto polos abdomen
    • Sistografi
    • Sistoskopi
    • Ultrasound
    Sistografi

    Ruptur buli ekstraperitoneal, Ekstravasasi (ditunjuk dengan panah) terlihat di


    luar kandung kemih di dalam pelvis pada cystogram.
    (Hohenfellner M, Santucci RA. Emergencies in Urology. Berlin Heidelberg:
    Springer ;2007)
    Ruptur buli intraperitoneal. Cystogram menunjukkan kontras mengelilingi usus.
    (Hohenfellner M, Santucci RA. Emergen0cies in Urology. Berlin Heidelberg:Springer ;
    2007)
    Tindakan Bedah
    Extraperitoneal Ruptures
    • Pemasangan kateter
    • Laparatomy

    Intraperitoneal Ruptures
    Surgical bladder repair
    Algoritma

    Algoritma 1. Evaluasi dan penanganan trauma pada traktus urinarius bawah


    (Wessels H, McAninch JW. Urological Emergencies.New Jersey: Humana
    Press Inc 2005)
    Komplikasi
    • Inkontinensia
    • fistula
    • demam
    • Sepsis
    • Abses pelvis
    • Peritonitis
    Terima Kasih

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