Reparaciones quirúrgicas de las lesiones ureterales

Baboudjian, Michael; Depaquit, T. Long; Gondran-Tellier, Bastien; Lechevallier, É.; Boissier, R.

doi:10.1016/s1761-3310(22)47441-x

Cited by 1 publication

(3 citation statements)

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“…Iatrogenic injuries affect the upper, middle, and lower thirds of the ureters in 2%, 7%, and 91% of cases, respectively. These injuries occur in any of the approaches for hysterectomy, whether abdominal 0.3%, vaginal 0.04% or laparoscopic 0.3% [6,7]. The incidence of bladder injury varies depending on the procedure; Wong et al reported an incidence of 0.24% in laparoscopic surgery in benign pathology; Other studies report an incidence of 0.44% in cesarean sections and 1.54% during hysterectomies for benign pathol-Volume 54-Issue 4 DOI: 10.26717/BJSTR.2024.54.008586 ogy [8,9].…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of bladder injury varies depending on the procedure; Wong et al reported an incidence of 0.24% in laparoscopic surgery in benign pathology; Other studies report an incidence of 0.44% in cesarean sections and 1.54% during hysterectomies for benign pathol-Volume 54-Issue 4 DOI: 10.26717/BJSTR.2024.54.008586 ogy [8,9]. Lower urinary tract injuries including bladder injuries are associated with increased morbidity; This includes the formation of fistulas, infections, hydronephrosis and kidney injury, combined with a 60% percentage of reinterventions, with an increase in hospital stay and affecting quality of life [6,10,11].…”

Section: Introductionmentioning

confidence: 99%

“…The ureter in the middle of its length crosses the pelvis; The most frequent sites of injury are at the level of the infundibulo-pelvic ligament where the ureters are located parallel to the ovarian vessels; These structures may be modified by adhesions, or large adnexal tumors [12]. The most common site of ureteral injury is located at the level of the uterine artery, which passes medially and below the ureter at 1 cm [6]. The other site of injury is located on the anterior fornix of the vagina where the ureter becomes medial and anterior before entering the bladder, in the ureteral canal of the cardinal ligament; In cases of strongly adherent placenta and closure of lateral uterine incisions, injury to the ureter may occur [12].…”

Section: Introductionmentioning

confidence: 99%

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"Urological Surgical Injuries in Gynecology and Obstetrics. 10-Year Review"

Prior-Rosas

2024

BJSTR

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Introduction: Urinary tract injuries are rare but when presented are among the most serious complications of pelvic surgery it can cause significant morbidity for the patient and is a leading cause of litigation in many countries. The incidence in low resource settings is not well documented.Objective: Determinate the prevalence of urinary tract injury, associated with gynecologic and obstetric surgery. Methods:A descriptive and ambispective analytical study was carried out to determine the prevalence of urinary tract injury, associated with gynecological and obstetric surgery, it was diagnosticated intraoperatory or during the postoperative. The results were analyzed with the statistical program SPSS-27.0. Results:During the period from 2013 to 2023, a total of 27 injuries to the urinary tract occurred, of which 19 were to the bladder (73.07%), 6 ureteral injuries (22%) and 2 injuries that involved both the bladder and ureters (7.69%). Bladder injuries in cases of abdominal hysterectomies were 3.08% (21/680), and ureteral injuries were 1.17% (8/680). Conclusion:The precaution and knowledge of anatomy is of utmost importance to minimize the risk of these structures; early recognition and their repair has a positive prognosis in the morbidity of patients.

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