Ureteric Injuries: Diagnosis, Management, and Outcome

Ghali, A.; Malik, Elfatih M.; Ibrahim, A.I.A.; Ismail, Gener; Rashid, Maliha

doi:10.1097/00005392-199909010-00136

Cited by 38 publications

(72 citation statements)

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“…substantial and sizeable than for external trauma, but the series are all retrospective, generally cover long study periods, are heterogeneous for type, and involve many degrees and locations of injury, and many surgeons [13,.…”

Section: © 2 0 0 4 B J U I N T E R N a T I O N A Lmentioning

confidence: 99%

“…The common types of iatrogenic ureteric injuries, in descending order of frequency, are ligation, kinking by suture, transection/ avulsion, partial transection, crush, and devascularization (leading to delayed necrosis/stricture) [13,. From external trauma, ureteric injuries are avulsion, partial transection and blast injury devascularization.…”

Section: Types Of Injurymentioning

confidence: 99%

“…Injuries that are detected after surgery or delayed tend to be more complex, require more complex repairs, require multiple procedures, and have higher rates of nephrectomy and death [7,13,15,34,41,45,74,117].…”

Section: Managementmentioning

confidence: 99%

“…Even in the busiest of trauma centres, external ureteric injuries are rare, typically with < 10 injuries per year There are only a few series [4,6,13,14,18,22] with a sizeable experience, and they are all retrospective, cover long study periods (10-40 years) and are mostly treated by heterogeneous groups of physicians. Most external ureteric injuries occur from gunshot wounds .…”

Section: Introductionmentioning

confidence: 99%

“…When the ureteric injury is missed and not diagnosed until late, or the primary repair fails, the complication rate increases considerably, including renal loss and even death [1, 11,13,15,16,18,[25][26][27][28][29][30][45][46][47][48]51,52]. Immediate diagnosis and proper management at the time of ureteric injury is essential to reduce potential morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis and management of ureteric injury: an evidence‐based analysis

Brandes¹,

Coburn²,

et al. 2004

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The Consensus on Genitourinary Trauma continues this month with an evidence‐based analysis, by a team of experts under the chairmanship of Dr Jack McAninch, of current reports on the diagnosis and management of ureteric trauma. This is quite a unique document, and of interest to all urologists; not only as a consensus on how this condition should be managed, but also as a model of how to review current publications.

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Section: © 2 0 0 4 B J U I N T E R N a T I O N A Lmentioning

confidence: 99%

Section: Types Of Injurymentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnosis and management of ureteric injury: an evidence‐based analysis

Brandes¹,

Coburn²,

et al. 2004

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Methods and Complications of Anterior Exposure of the Thoracic and Lumbar Spine

Ikard¹

2006

Arch Surg

130

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To review the methods and complications of exposing the anterior aspects of the thoracic and lumbosacral spine. Data Sources: PubMed (journals database of the National Library of Medicine), text books, the University HealthSystem Consortium Clinical Process Improvement Benchmarking Project, a newspaper, and the US government Healthcare Cost and Utilization Project. Study Selection: Descriptions of morbidity and mortality specifically related to anterior spine exposure depicted in both case reports and clinical series were used. Data Extraction: Mortality data from clinical series with more than 30 cases were tabulated. Morbidity incidences were described. Data Synthesis: The frequency of anterior exposure of the spine for structural operations is steadily increasing. Both thoracic and lumbosacral anterior spine operations are associated with exposure-related complication rates of 10% to 50%. Pulmonary complications are frequent after thoracic exposures. Chylothorax is the most common of several rarer chest-exposure complications. Vascular complications, particularly arterial thrombosis (Ͻ1% of cases) and venous bleeding (2%-15% of cases), are the most frequent complications at the lumbar level. Other lumbosacral exposure complications include ureteral and nerve (somatic and sympathetic) injury. The mortality rate in anterior spine exposures is less than 1%. Conclusions: The exposure portions of anterior spine operations result in numerous complications. There are fewer reported complications with endoscopic exposures of the anterior spine than with open exposures, although endoscopic exposures have been used for less complicated cases. In comparable cases, neither exposure nor results of endoscopic operations have proven better than operations done through minilaparotomy incisions. Perioperative cooperation between exposing and spine surgeons is necessary to enhance results in anterior spine operations.

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Late‐onset ureteric urinoma with intermittent jet flow as a complication of ureterolithotomy

Ünal

Başar

Bilgili

et al. 2004

J of Clinical Ultrasound

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We present the case of a late-onset urinoma in a 47-year-old man with a history of right ureterolithotomy performed 6 months previously, following 2 unsuccessful attempts at extracorporeal shock wave lithotripsy. The ipsilateral kidney was nonfunctional and hydronephrotic. The urinoma did not show enhancement on contrast-enhanced CT and intravenous pyelography. Sonography revealed turbulence in the urinoma and jet flow from the ureter. Lab studies of fluid obtained by percutaneous puncture and aspiration yielded misleading findings for urine and revealed the presence of hemosiderin-laden macrophages. The urinoma was surgically resected and ureteroneocystostomy was performed.

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Ureteric Injuries: Diagnosis, Management, and Outcome

Cited by 38 publications

References 0 publications

Diagnosis and management of ureteric injury: an evidence‐based analysis

Diagnosis and management of ureteric injury: an evidence‐based analysis

Methods and Complications of Anterior Exposure of the Thoracic and Lumbar Spine

Late‐onset ureteric urinoma with intermittent jet flow as a complication of ureterolithotomy

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