Figure 1 |
The bladder is fixed to the abdominal wall using a Surgipasser needle with polyglactin 0 suture |
Figure 2 |
After trocar positioning, the cystoscope is removed. A 5-mm 0° optic is used. |
Figure 3 |
The neck of the diverticulum is outlined with the monopolar cautery all around. |
Figure 4 |
The bladder mucosa is incised. All muscular fibres are carefully divided until the correct plane between the mucosal wall of the diverticulum and the perivesical fat is found. |
Figure 5 |
Once the the proper cleavage plane is found, the diverticulum can be easily detached using two graspers. |
Fig. 6 + 7 |
The intact mucosal lining of the diverticulum is brought inside the bladder. |
Figure 8 |
A 5-mm incision is made lateral to the midline and a long Kelly clamp is introduced into the residual cavity. A Redon drain is introduced into the bladder, grasped and extracted with the Kelly clamp. |
Fig. 9 + 10 |
The bladder defect is closed with a single-layer running suture. |
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