Résultats de la prise en charge chirurgicale conservatrice à ciel ouvert des plaies urétérales

Functional outcomes of surgical treatment of ureteral injury following gynecological and obstetrical surgery

“…The overall estimate of the frequency of operative lesions of the ureter is very variable according to the series analyzed, ranging from 0.5 to 30% [ 2 , 3 ]. In fact, this frequency depends on several factors.…”

“…In our study, multiparity was found in 90.6% of cases. The early diagnosis conditions the therapeutic result [ 1 , 2 , 6 ]. Ideally, this accident should be recognized during the operation but this is rare.…”

“…The presenting signs are mainly urine leakage and back pain, rarely anuria or a pelvic mass (indicating a urinoma) or hematuria. In different series [ [1] , [2] , [3] , 6 ], urinary leakage through the vagina is the most frequent revealing sign, followed by back pain. In our study, Back pain was the most common sign followed by urinary leakage.…”

“…For several years, gynecological and obstetrical surgery has been the most frequent source of ureteral injuries, representing almost 75% of iatrogenic trauma to the ureter [ 2 ]. However, the incidence of ureteral injury remains low, in the order of 0.5–1% of pelvic surgeries and about 0.5% of hysterectomies [ 2 ].…”

“…They can be life-threatening and may affect the functional prognosis of the kidney. The first treatment is essentially based on endoscopy but in case of failure, open surgery represents a suitable but more invasive solution [ 2 , 4 ].…”