Ureteral catheter placement for prevention of ureteral injury during laparoscopic hysterectomy

Abstract

UC placement is simple, helping to prevent ureteral injury during laparoscopic hysterectomy and enhancing safety of this procedure.

Preset ureter catheter in laparoscopic radical hysterectomy of cervical cancer

“…In open surgery, as the difficulties of operations increase, the probability of ureteral injury increases by 0-2.0% (Uccella et al, 2007;Chong et al, 2009), whereas the probability of ureteral injury in laparoscopic operations increases by 0.2-6.0% (Cholkeri-Singh et al, 2007;Tanaka et al, 2008). This increased risk is due to the limitations of visual exposure, the lack of touch, and the use of an energy apparatus.…”

“…Quinlan et al (2009) found that the use of a ureteral catheter could increase discrimination in complicated pelvic surgery, thus diminishing injury through negligence. Tanaka et al (2008) showed that preventively setting a ureteral catheter was beneficial for discerning the ureter, and could prevent ureteral injuries in laparoscopic hysterectomy; it could also spontaneously heal mild injuries of the ureter through prolonged intubation. In contrast, Kuno et al (1998) showed that indiscriminately applying a temporary ureteral catheter in gynecological surgery was not helpful for preventing ureteral injury.…”

“…Nevertheless, because of the insufficient understanding of the anatomical structure surrounding the cervix under the microscope, unskillful handling, and the use of electric energy devices, urinary system injury complications can easily occur in the early stage of performing this type of operation, with ureteral injury being one of the most serious complications. As laparoscopic hysterectomy and retroperitoneal operations, such as pelvic lymph node dissections, have increasingly been adopted, the occurrence rate of laparoscopic ureteral injury has also increased (Cholkeri-Singh et al, 2007;Tanaka et al, 2008). Furthermore, the rate of ureteral injuries resulting from laparoscopic operations is substantially higher than that resulting from celiotomies (Uccella et al, 2007;Chong et al, 2009).…”

Ureterovaginal Fistula after Use of Harmonic Scalpel in Total Laparoscopic Hysterectomy: Possible Causes and Successful Management

“…Side effects like lower backache and hematuria occur frequently in most patients. 7 There is however no difference in incidence of ureteric injuries if prior stenting is done in all routine cases. Diagnosis of ureterovginal fistula is confirmed by a three swab test, IVP and if required cystoscopy.…”

Recommendations to Prevent Urinary Tract Injuries During Laparoscopic Hysterectomy: A Systematic Delphi Procedure Among Experts

“…To prevent complications during the learning curve, perioperative recommendations should be formulated. Many of these recommendations have been reported in articles and text books [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”