The bladder flap
was dissected down an additional 3 to 4 cm to accommodate the presence of the anterior mesh arm during sacrocolpopexy.
Central role of Boari bladder flap
and downward nephropexy in upper-ureteral reconstruction.
If the ureter is not long enough for reimplantation, the bladder may be mobilized, and ureteral continuity achieved with the creation of a psoas bladder hitch or Boari bladder flap
A combination of traction and countertraction, small bites, and selective coagulation--one vessel at a time--is critical as dissection proceeds and the bladder flap
Bladder injury during caesarean section may occur by failure to empty the bladder pre op, inadequate bladder flap
reflection or extension of the incision into vagina .
A bladder flap
was developed, the anterior sheath of the broad ligaments opened, and the ligaments were penetrated lateral to the ascending branches of the uterine artery.
After dropping the bladder flap
off of the anterior abdominal wall, the right-sided round ligament was ligated and transected to expose the right external iliac vessels.
I create a bladder flap
on primary cesarean sections out of habit, but I have performed a few without creating it, and without harming the patient.
To outline the bladder flap
, the location of the Koh ring, VCare cup, or McCarus-Volker Fornisee at the cervicovaginal junction should be noted and used as a general target.
During the cesarean delivery, your colleague does not create a bladder flap
, makes a superficial incision in the uterus and enters the uterine cavity bluntly with her index finger, uses blunt cephalad-caudad expansion of the uterine incision, and closes the uterine incision in a single-layer of continuous suture.
When we created the bladder flap
, we entered the bladder and the fistula tract was exposed (Fig.
The broad and round ligaments then are coagulated and transected, and the bladder flap