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You could try typing "map mapname" in console to restart in a specific level, but you'll probably lose all your equipment. There could also be a "give itemname" cheat which you could use to get the ladder back.
I'll see if I can give myself an extra ladder.
See You Are Stuck In Here Forever
Shame, since the game is very atmospheric and slightly nostalgic-esque.
So,
First, place is outside the torture room after the save recorder as soon as you exit the room the ladder would appear magically (render) in front of you as soon as you take step.
Second, in the basement where you can swim and you can see the the message " I can not open door with this water", there on the left after first doorway all the furniture is put to block the way well you can swim above the furniture by crouching and swim you will get to the point where a in the video tape a guy kills somebody by chopping his head off. There you must find the ladder.
Cheers!
Find my reply above for an answer