Bladder flap dissection in gynecologic surgery: tips and tricks for success

Laparoscopic gynecologic surgeries are known to have a complication rate of 0.33% for bladder or ureteral injuries. The most common location of injury is on the posterior side of the bladder during vesico-uterine dissection. While injuries are generally noticed at the time of surgery, an unnoticed serosal injury can lead to delayed cystotomy and vesico-vaginal fistula. A safe bladder flap technique is important to prevent complications in both the short and long term.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Source Type: research