Culhane J, et al. - Researchers compared patients with penetrating bladder injury who received minimally invasive management vs those receiving traditional open surgical treatment with respect to their outcomes.

• Retrospective cohort study of 18,506 trauma patients treated from 2012 through 2019 at researchers’ trauma center, and data of 1,961,104 patients from the National Trauma Data Bank for the years 2016 and 2017.

• In the local group, a bladder injury was recorded in 117 (0.63%) patients; 30 of these (25.6%) were penetrating.

• In the National Trauma Data Bank group, bladder injury was recorded in 5,330 patients (0.27%); 963 of these (19.5%) were penetrating.

• Open surgery is required to manage most of the penetrating bladder injury, however, minimally invasive management can be safely performed in a small proportion of patients.

• In select patients, lower total complications and shorter hospital length of stay were observed in correlation with receiving minimally invasive management.