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. 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.