The incidence, causes, and management of lower urinary tract injury during total laparoscopic hysterectomy

İnan, Abdurrahman Hamdi; Budak, Adnan; Beyan, Emrah; Kanmaz, Ahkam Göksel

doi:10.1016/j.jogoh.2018.10.009

Cited by 18 publications

(12 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The procedure performed in five included studies was vaginal hysterectomy. 14,17,29,32,33 Ten of the remaining included studies assessed the odds of surgical complications following minimally invasive hysterectomy (laparoscopic-assisted vaginal hysterectomy, total laparoscopic hysterectomy, and roboticassisted hysterectomy) 16,[20][21][22][23]27,28,31,34,35 and 11 included studies assessed the odds of various types of hysterectomy including total abdominal hysterectomy and vaginal hysterectomy. 4,6,15,18,19,[24][25][26]30,36,37 Study designs of the included studies were cohort studies (24) 4,6,14-25,27-29,31-37 and case-control studies (two) 26,30 (Tables S3 and S4).…”

Section: Resultsmentioning

confidence: 99%

“…Figure 2 shows the summary of the risk of biases stratified by the type of study design. Quality assessment among 24 cohort studies using the Newcastle-Ottawa Scale indicated that high risks for comparability and outcome assessment were, respectively, noted in 15 [14][15][16][17][18][21][22][23][24][25]27,28,33,34,36 and 12 studies. 6,14,15,17,18,22,27,29,31,33,34,37 No cohort study was judged as having a high risk of selection bias.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

<p>Perioperative Complications of Hysterectomy After a Previous Cesarean Section: A Systematic Review and Meta-Analysis</p>

Rattanakanokchai¹,

Kietpeerakool²,

Srisomboon³

et al. 2019

CLEP

View full text Add to dashboard Cite

Background: With increasing rates of cesarean sections (CS), the number of hysterectomies performed among women with a previous CS is on the rise. Objective: To provide the association between the odds of complications following a hysterectomy performed later in life and a previous CS. Search strategy: A comprehensive search was performed using major electronic databases, ie, MEDLINE, Scopus, ISI Web of Science, from their inception to April 2019. Selection criteria: Analytical studies, irrespective of language or publication status, were included. Data collection and analysis: Outcomes were extracted in duplicate. The methodological quality of the included studies was independently evaluated by two review authors. A threelevel meta-analysis was applied for outcomes with dependent effect sizes. Main results: Twenty-six studies were included involving 54,815 women. The odds of the following complications were increased in women with a previous CS: urinary tract injury (pooled unadjusted odds ratio (OR)=3.15, 95% CI=2.01-4.94, 15 studies, 33,902 women, and pooled adjusted OR=2.21, 95% CI=1.46-3.34, 3 studies, 31,038 women), gastrointestinal tract injury (pooled unadjusted OR=1.73, 95% CI=1.19-2.53; 7 studies, 30,050, and pooled adjusted OR=1.83, 95% CI=1.11-3.03, 1 study, 25,354 women), postoperative infections (pooled unadjusted OR=1.44, 95% CI=1.22-1.71, 6 studies, 37,832 women), wound complications (pooled unadjusted OR=2.24, 95% CI=1. 9 studies,37,559 women), reoperation (pooled unadjusted OR=1.46, 2 studies,9,899 women), and blood transfusion (pooled unadjusted OR=1.35, 95% CI=1.03-1.76, 7 studies, 13,430 women). Conclusion: Previous CS increases risks of various complications following hysterectomy. This information reminds the gynecologists to be aware of the associations between previous CS and potential complications among women undergoing hysterectomy. Prospero registration number: CRD42018085061.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

<p>Perioperative Complications of Hysterectomy After a Previous Cesarean Section: A Systematic Review and Meta-Analysis</p>

Rattanakanokchai¹,

Kietpeerakool²,

Srisomboon³

et al. 2019

CLEP

View full text Add to dashboard Cite

show abstract

“…Accidental ureteral injury is a known complication of minimally invasive gynecologic surgery. Previous cesarean section, severe endometriosis, multiple myomas, and large uterus are recognized as risk factors for ureteral injury [9]. Most injuries occur during division of the uterine artery at the level of the internal cervical space.…”

Section: Discussionmentioning

confidence: 99%

Removal of a Huge Uterine Mass, Weighing 11000 Grams, In an Elderly Woman with a Minimally Invasive Surgical Approach: Feasibility and Safety

Macciò¹,

Chiappe²,

Lavra³

et al. 2019

CIO

View full text Add to dashboard Cite

An 80-year-old multiparous woman was admitted to our department with a giant abdominal mass, worsening dyspnea, swallowing problems, constipation, and pain that gradually worsened over the previous months. Her medical and surgical histories were unremarkable. She was anemic (hemoglobin, 11 g/dL) with normal liver and renal functions and her CA125 level was 29.5 ng/ mL. On physical examination, the abdominal wall was tense, with a mass occupying the entire abdominal cavity. On bimanual pelvic examination, it was not possible to identify the uterine cervix. On ultrasound, which was performed both abdominally and vaginally, a large, complex, solid-cystic mass extending from the pelvis to the subdiaphragmatic area was observed. The cystic parts of the

show abstract

“…In terms of complications, ureteric injury is a remarkable morbidity during laparoscopic hysterectomy, occurring with a ratio about 0.7% [6]. One of the most common sites of injury is where it intersects the UA thus, the surgeon needs to be mindful when ligating the UA because the ureter passes beneath this artery and is at risk for injury [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Hypogastric artery ligation in laparoscopic hysterectomy: results from a randomized controlled trial

Bakay¹,

Yavuzcan²,

Kalkan³

et al. 2021

Clinical and Experimental Obstetrics & Gynecology

View full text Add to dashboard Cite

Background: Concerning total laparoscopic hysterectomy (TLH), opening the retroperitoneum and prophylactic ligation of both uterine arteries (UA) is not a routine procedure during a simple hysterectomy and it is not practiced widely in gynecology education. Methods: In this study, we tried to show the prophylactic ligation of internal iliac artery anterior division (IIAD) and provide hemostasis of UA at an anatomical plane where we considered it would be easier to perform and relatively safer, in terms of distance, regarding ureteric injury, in a prospective randomized controlled trial. Results: When this technique was used the duration of the operation got longer approximately 3 minutes (min) (57.15 ± 5.46 vs. 53.66 ± 8.96 p = 0.018 and p < 0.05), but the amount of bleeding was detected to be at a significantly lower level (73.84 ± 7.18 vs. 113.96 ± 21.5 p = 0.001 and p < 0.05). Discussion: In this method, not only we found out that it is easier to ligate IIAD compared to other surgical techniques but also allows for better control of the retroperitoneal area during the procedure therefore minimizing the risk of surgical complications such as ureter damage. Moreover, as was hypothesized, IIAD ligation dramatically reduced blood loss hence verifying its use in more complex hysterectomies and pelvic lymphadenectomy.

show abstract

The incidence, causes, and management of lower urinary tract injury during total laparoscopic hysterectomy

Cited by 18 publications

References 19 publications

<p>Perioperative Complications of Hysterectomy After a Previous Cesarean Section: A Systematic Review and Meta-Analysis</p>

<p>Perioperative Complications of Hysterectomy After a Previous Cesarean Section: A Systematic Review and Meta-Analysis</p>

Removal of a Huge Uterine Mass, Weighing 11000 Grams, In an Elderly Woman with a Minimally Invasive Surgical Approach: Feasibility and Safety

Hypogastric artery ligation in laparoscopic hysterectomy: results from a randomized controlled trial

Contact Info

Product

Resources

About