LAPAROSCOPIC MANAGEMENT OF INTENTIONAL AND UNINTENTIONAL CYSTOTOMY

Purpose: We assessed the laparoscopic closure of intentional or uninte ntional bladder lacerations during operative laparoscopy. Materials an d 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 patie nts) or polydioxanone suture (2) and followed by 7 to 14 days of trans urethral drainage. Results: Complications were limited to 1 vesicovagi nal fistula that required reoperation. After 6 to 48 months of followu p all patients were well with a good outcome. Conclusions: In select c ases the bladder can be repaired safely and effectively during operati ve laparoscopy by an experienced laparoscopic surgeon.