Enterocystoplasty complications in intensive care service.

The cystectomy with substitute enterocystoplasty because of the bladder can cer is a surgical technique which is the origin of several problems that th e medicosurgical team faces. The aim of this study is to evaluate the posto perative complications of this surgical technique. We have realized a retro spective study of 56 patients hospitalized in intensive care service betwee n 1994 and 1997. The complications observed were dominated by postoperative peritonitis (5.2%), urinary fistula (3.5%), digestive fistula (1.7%). Othe r general complications were recorded as pneumopathy (3.5%), digestive hemo rrhage (1.7%) and deshydratation (3.5%). One death case in multivisceral fa ilure system was noticed. A precocious diagnosis, a good preoperative value , and a peroperative adapted supervision should improve surely the prognosi s. (C) 2001 Editions scientifiques et medicales Elsevier SAS.