The detection of ureteral injuries after hysterectomy

Wu, Hsin‐Hung; Yang, Pei-Yin; Yeh, Guang-Perng; Chou, Pan-Hsin; Hsu, Jui-Chang; Lin, Kuo‐Cherng

doi:10.1016/j.jmig.2006.04.018

Cited by 45 publications

(20 citation statements)

References 26 publications

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“…Regarding the approach for hysterectomy, the risk of ureteral injury appeared to be the greatest during laparoscopic hysterectomy [8]. But with growing experience in laparoscopy, recent reports showed that the incidence of ureteral injury during gynaecological surgeries in laparoscopic cases was (1.1%), similar to the cases of laparotomy (1.2%) [9]. Léonard et al [10] reported ureteral injury rate 0.3% in laparoscopic hysterectomies comparable to published open hysterectomy series.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

et al. 2015

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Introduction: Most commonly ureterovaginal fistula occurs due to surgical injury inflicted to the distal ureter and because of gynaecological procedures. Open surgical repair is a standard procedure and commonly involves ureteroneocystostomy. Methods: We retrospectively reviewed data of 9 patients, who underwent laparoscopic extravesical Lich-Gregoir ureteroneocystostomy using the psoas hitch procedure for ureterovaginal fistulas following hysterectomy during the period December 2012-August 2014. Transperitoneal laparoscopic ureteroneocystostomy was performed in all cases. Results: The mean operative time was 212 min (range 170-310) and estimated blood loss was 108 ml (range 70-150). Average hospital stay was 5.7 days. Follow-up time was from 6 to 26 months. Postoperative intravenous urography was done after 3 months, which showed patent anastomosis in 8 patients except for 1 patient who had nonvisualization of the ipsilateral renal moiety. Voiding cystogram done at 3 months showed no leakage in all patients. In the postoperative period, 1 patient had recurrent ipsilateral pyelonephritis 2 weeks after surgery, while another patient had febrile UTI. Apart from these no major complications were observed. Conclusion: Laparoscopic ureteroneocystostomy with psoas hitch can be performed safely with a success rate compared to that of open surgery but with less morbidity and quick convalescence.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Extravesical Lich-Gregoir Ureteroneocystostomy with Psoas Hitch for the Management of Ureterovaginal Fistula in Post-Hysterectomy Patients

et al. 2015

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“…Various reviewers have differed their in opinions regarding the use of preoperative and intraoperative procedures such as intravenous pyelography, cystoscopy, and ureteral catheters. 5,6 Many injuries may not be recognized at the time of surgery, and ureteral injuries may never be recognized until years later. Diagnostic cystoscopy is not routinely performed by many gynecologic surgeons, either because of lack of training or difficulty in obtaining privileges to perform this urologic procedure.…”

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confidence: 99%

Urinary Tract Injury During Hysterectomy Based on Universal Cystoscopy

Ibeanu

Chesson

Echols

et al. 2009

Obstetrics &Amp; Gynecology

164

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“…13,14 There was no wound infection and no patient suffered any visceral injury during the procedure, whereas injuries to ureter, bladder and intestine have been reported in other studies. [15][16] This may be due to all hysterectomies were performed by well trained experienced gynecological team. Only 3.57% (2/56) patients of NDVH developed pyrexia in our study, although higher rates of morbidity have been reported in studies from Lahore (20%) and Karachi (9.61%).…”

Section: Discussionmentioning

confidence: 99%