1999
DOI: 10.1111/j.1479-828x.1999.tb03366.x
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Incidence and Management of Gynaecological‐Related Ureteric Injuries

Abstract: We report a 5-year review of all ureteric injuries at a major Sydney teaching hospital as a result of gynecological procedures. A retrospective analysis was made of all hospital medical records and consultant follow-up notes from January,1990 to May, 1995. Injuries were recorded in 22 patients with a mean age 52 years (range 31-88). Of these, 17 occurred at our institution, while 5 were referred from peripheral hospitals. Two injuries were bilateral, and 6 were discovered intraoperatively. Patients were manage… Show more

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Cited by 28 publications
(18 citation statements)
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“…Our overall ureteric injury rate for the last 1,000 cases was 0.20% and that of Wattiez et al of 0.21% in their latter 952 cases compared favourably with the reported rates in AH of 0.24% from western Sydney [28], 0.20 and 0.40% from Finland [26,29], and 0.39% overall for all the AHs performed in the above reported trials [21][22][23][24][25].…”
Section: Discussionsupporting
confidence: 86%
“…Our overall ureteric injury rate for the last 1,000 cases was 0.20% and that of Wattiez et al of 0.21% in their latter 952 cases compared favourably with the reported rates in AH of 0.24% from western Sydney [28], 0.20 and 0.40% from Finland [26,29], and 0.39% overall for all the AHs performed in the above reported trials [21][22][23][24][25].…”
Section: Discussionsupporting
confidence: 86%
“…What is an acceptable incidence for ureteric damage at hysterectomy? Aslan et al report an incidence of 0.44% 2 [4,6]. In this study it was 2.7%.…”
Section: Discussionsupporting
confidence: 45%
“…Inevitably, surgery carries complications, some related to the disease process, some to the surgery itself and, while it would be ideal to be able to reduce the incidence to zero, this is not possible in practice. Attempts should be made to reduce the occurrence of avoidable complications [4], but this cannot be done without first obtaining an impression of the scale of the problem.…”
Section: Discussionmentioning
confidence: 99%
“…Visual inspection is imperative to exclude significant ureteric injury. At a minimum, ureteric stent placement is prudent in most circumstances [55,56]. When ureteric viability is in question, UU should be performed [55].…”
Section: Suture Ligation Injurymentioning
confidence: 99%