Laparoscopic management of intentional and unintentional cystotomy

Ceana H. Nezhat, Daniel S. Seidman, Farr Nezhat, Howard Rottenberg, Camran Nezhat

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

Purpose: We assessed the laparoscopic closure of intentional or unintentional bladder lacerations during operative laparoscopy. Materials and Methods: Retrospective review of operative reports revealed 19 women who required bladder repair. The defect was repaired laparoscopically in 1 layer using interrupted absorbable polyglycolic suture (17 patients) or polydioxanone suture (2) and followed by 7 to 14 days of transurethral drainage. Results: Complications were limited to 1 vesicovaginal fistula that required reoperation. After 6 to 48 months of followup all patients were well with a good outcome. Conclusions: In select cases the bladder can be repaired safely and effectively during operative laparoscopy by an experienced laparoscopic surgeon.

Original languageEnglish
Pages (from-to)1400-1402
Number of pages3
JournalJournal of Urology
Volume156
Issue number4
DOIs
StatePublished - Oct 1996

Keywords

  • bladder
  • laparoscopy
  • wounds and injuries

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