Conservative management of incidental cystotomy at laparoscopy. A report of two cases.
BACKGROUND
In the last 20 years the technique of operative laparoscopy has rapidly evolved, so the majority of gynecologic procedures can now be performed endoscopically. However, laparoscopy is still a relatively new technique, and we have much to learn about its associated complications and their management. In the English-language literature there are 15 reported cases of bladder perforation associated with laparoscopy, and 4 of them occurred with insertion of the primary trocar.


METHODS
Two cases are described in which incidental cystotomy occurred with primary trocar insertion during laparoscopy for infertility and chronic pelvic pain. Both patients were treated successfully with Foley catheterization.


CONCLUSIONS
To our knowledge, nothing was written earlier about conservative management of incidental cystotomy occurring at the time of primary laparoscopic trocar insertion. This paper reports two such cases.
Angle
H S
HS
Department of Obstetrics and Gynecology, University of Massachusetts Medical Center, Worcester 01655, USA.
Young
S B
SB
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D017699:Pelvic Pain / Q000601:surgery*; D011677:Punctures; D001743:Urinary Bladder / Q000293:injuries*