[Ortho] Операция на переднем полукольце таза при налич

[David Zamorano]

Alexander,
 
here are some more details:
 
> What do you mean as "prep the SP catheter into the field"?

the suprapubic catheter is clamped and disconnected from the
collection bag. It is then scrubbed and prepped and draped into the
field. We then do an ilioinguinal or Pfannenstiel depending on the fracture.  
 
What bladder repair do you mean? -- usually the bladder has been
repaired already but some times it has not been or it has been
repaired inadequately. The typical scenario is a patient who is
transferred from another hospital for definitive care for their pelvic
fractures.  Often they have an emergent ex-lap by the general surgeons
and a suprapubic catheter placed by the urologist but don't have an
orthopaedist to fix the pelvis.  When we do our approach, we inspect
the bladder and if it needs to be repaired, the urologist does this.       
 
>Is it temporary closure of the fistula and re-opening it again after
>closure of the "orthopaedic" aproach?

the fistula is allowed to heal on it's own and the new catheter is
placed through a "clean" site in the skin.  sometimes a catheter is
not needed and a foley can be placed.  if there is a urethral repair
that is needed, this is done at another time by the urologist   
 
hope this helps
 
Dave