Laparoscopic management of intentional and unintentional cystotomy.

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.