Single-layer closure of a bladder laceration during laparoscopy. A case report.
BACKGROUND
The increase in complex laparoscopic surgery has led to an increase in bladder injuries. Two-layer laparoscopic closure has been described but is technically difficult.


METHODS
A bladder laceration was sustained during laparoscopic removal of an ovarian cyst with lysis of omental adhesions. A single-layer closure using laparoscopically assisted suturing resulted in a good outcome.


CONCLUSIONS
Case reports demonstrate that two-layer closure of the bladder using laparoscopic suturing is technically feasible but may be beyond the capabilities of many laparoscopic surgeons. This case demonstrates that single-layer closure may give good results.
Department of Obstetrics and Gynecology, University of Wisconsin Medical School, Milwaukee 53233, USA.
B J
BJ
Amuzu
D000328:Adult; D003560:Cysts / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D010049:Ovarian Diseases / Q000601:surgery; D013536:Suture Techniques; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery