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  • Title: Laparoscopic management of intentional and unintentional cystotomy.
    Author: Nezhat CH, Seidman DS, Nezhat F, Rottenberg H, Nezhat C.
    Journal: J Urol; 1996 Oct; 156(4):1400-2. PubMed ID: 8808881.
    Abstract:
    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.
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