Rate of Urologic Injury with Robotic Hysterectomy

Petersen, Shariska; Doe, Samfee; Rubinfeld, Ilan; Davydova, Yafa; Buekers, Thomas E.; Sangha, Roopina

doi:10.1016/j.jmig.2018.01.004

Cited by 18 publications

(23 citation statements)

References 20 publications

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“…The ureter injury, due to its location and anatomical features, in most cases (>80%) is a result of medical interventions [46]. Any injury, even minor injury, can lead to serious consequences: infection, up to sepsis; ureteral strictures with the development of hydronephrosis and impaired renal function; ureteral fistula formation [47].…”

Section: Resultsmentioning

confidence: 99%

“…The lower third of the ureter is usually more damaged than the middle and upper third [46, 48]. It should be mentioned that most injuries of the ureters are hidden, and diagnostic measures in the early postoperative period do not always make it possible to establish a diagnosis (e.g., with thermal damage, when a stricture can develop from a week to several months) [47].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, laparoscopic and robotic surgical approaches do not affect the frequency of complications [49, 52]. The main “provoking” factors of ureter iatrogenic injuries are malignant formations of the pelvis, consequences of the pelvic bone injuries, massive bleeding, previous radiation therapy or surgery on the pelvis, and abdominal cavity [47, 48, 50, 53].…”

Section: Resultsmentioning

confidence: 99%

“…General surgical, gynecological, and colorectal operations (as well as rarer vascular or other types of injuries) lead to ureteral injury for various reasons [47, 50, 52, 54]. Immediate damage (wall injury, crushing, dressing, or flashing) occurs during massive intraoperative bleeding (especially during cesarean section and hysterectomy), when hemostasis is performed without strictly visual control with ligation, flashing, or coagulation of wide area, large vessels, and tissue arrays.…”

Section: Resultsmentioning

confidence: 99%

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Urinary System Iatrogenic Injuries: Problem Review

et al. 2021

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Introduction: From May to December 2019, a literature review of the urinary system iatrogenic injury problem was performed. The most cited, representative articles in PubMed, Scopus, and WoS databases dedicated to this problem were selected. Urinary system iatrogenic injuries include ureter, bladder, urethra, and kidney traumas. It is widely thought that the main causes of such injuries are urological, obstetric, gynecological, and surgical operations on the retroperitoneal space, pelvis, or perineum. Methods: The purpose of the study is to describe all aspects of the iatrogenic injure problem, under the established scheme and for each of the most damaged organs: the urethra, bladder, kidney, and ureter. The treatment of confirmed iatrogenic injuries largely depends on the period of its detection. Modern medical procedures provide conservative or minimally invasive treatment. An untimely diagnosis worsens the treatment prognosis. “Overlooked” urinary system trauma is a serious threat to society and a particular patient. Thus, incorrect or traumatic catheterization can lead to infection (RR 95%) and urethral stricture (RR ≥11–36%), and percutaneous puncture nephrostomy can cause the risk of functional renal parenchyma loss (median 5%), urinary congestion (7%), or sepsis (0.6–1.5%). Results: Lost gain, profits, long-term and expensive, possibly multistage treatment, stress and depression, and the risks of suicide put a heavy financial, moral, and ethical burden on a person and society. Also, iatrogenic injury might have legal consequences. Discussion/Conclusion: Thus, the significant problem of urinary tract iatrogenic injuries is still difficult to solve. There is a need to implement mandatory examining algorithms for patients at risk, as well as the multidisciplinary principle for all pelvic surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Urinary System Iatrogenic Injuries: Problem Review

et al. 2021

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“…Se confirmaron un total de 27 lesiones ureterales de las cuales 7 lesiones se produjeron durante la histerectomía laparoscópica, 10 durante la histerectomía robótica, 1 durante la histerectomía vaginal y 9 durante la histerectomía abdominal estableciendo un riesgo de lesión urológica del 0.92% para la histerectomía robótica, 0.90% para la histerectomía laparoscópica, 0.33% para la histerectomía vaginal y 0.96% para la histerectomía abierta. De tal manera que concluyen que las tasas de lesión urológica con histerectomía robótica son similares a las de la histerectomía laparoscópica en así como aprecian que el número de cirugías del cirujano principal no se asoció con el riesgo de lesión urológica (161).…”

Section: Etiología Y Fisiopatologíaunclassified