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Single-layer closure of a bladder laceration during laparoscopy. A case report
1Department of Obstetrics and Gynecology, University of Wisconsin Medical School, Milwaukee 53233, USA.
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.
Case:
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.
Conclusion:
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.