Advanced Cytoreduction Cadaveric Surgical Course Montreal 2026-Bladder repair

Video Transcription

Video Summary

Carrie Langstraat reviews repair of an intraoperative bladder injury. Expose the full defect, assess its extent and location, and identify the ureters by inspection, IV-administered dye, or stents. Mobilize the bladder as needed for a tension-free repair, then close it in two layers with fine absorbable suture: the bladder wall followed by an imbricating seromuscular layer. Perform a leak test by filling the bladder, and leave a catheter for one to four weeks, based on the patient’s circumstances. In the illustrated case, prior radiation had thickened the bladder; an interpositional tissue flap may help support closure in irradiated patients.

Asset Subtitle

Carrie Langstraat

Keywords

intraoperative bladder injury

bladder repair

ureter identification

two-layer closure

catheter drainage