Thermal Bladder Injury at Laparoscopic Hysterectomy

A 49-year-old underwent laparoscopic hysterectomy for dysmenorrhea, fibroids and heavy menstrual bleeding. Past surgical history was significant for laparotomy for excision of stage IV endometriosis. Intraoperatively, lysis of adhesions was completed using a bipolar instrument, sharp dissection and ultrasonic instrument. Her 14-week sized uterus was removed via mini-laparotomy. On routine cystoscopy following the procedure, a thermal injury measuring 1 cm in width was noted at the dome of the bladder (Figure 1).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecological Surgery Source Type: research