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PREOPERATIVE DIAGNOSES: Bladder laceration.

POSTOPERATIVE DIAGNOSES: Bladder laceration.

NAME OF OPERATION: Closure of bladder laceration.

FINDINGS: The patient was undergoing a cesarean section for twins. During the course of the procedure, a bladder laceration was notices and urology was consulted. Findings were a laceration on the dome of the bladder.

PROCEDURE: Initially there as a mucosal layer of suture already placed. This was done with 3-0 chromic catgut. The bladder was distended and, while the bladder was distended with physiologic saline, a second layer of 3-0 chromic catgut created a watertight closure. The second layer included the mucosa an dinner layer of the detrusor muscle. A third layer of 2-0 Dexon was used. Each of these were placed in a continuous running-locked suture technique. There was complete watertight closure of the bladder. Hemostasis was assured and a Jackson-Pratt drain was brought out through a separate stab wound. The remaining portion of the operation, both the cesarean section and the wound closure, will be dictated by Dr. Redmond.

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