Ureteric injury after laparoscopic hysterectomy: a report of 3 cases and brief literature review

Abstract

Objectives:The application of minimally invasive laparoscopic techniques in gynecologic surgery gained popularity due to quicker recovery, shorter hospital stays as well as lower risk of complications. Ureteric injuries at laparoscopic hysterectomies are incidental and occur in less than 1% of cases. They can be identified intra-operatively but most of them are undetected. In most cases, the symptoms of an injury are non-specifically manifested after several days or even months following surgery. Case reports:We described different clinical symptoms suggesting ureteric injury based on 3 laparoscopic hysterectomies. Methods of diagnosis and repair techniques were also presented. Conclusions:All complications following laparoscopic hysterectomy should be analyzed meticulously and ureteral injury must be considered as one of the possible causes of abnormal patient recovery.

Minimally invasive surgery in Gynecology. Reconciling the past with a view to the future

“…Despite the increasing number of procedures, including laparoscopic hysterectomy (LH), there is still a risk of complications associated with the technique used. One of the most intriguing is ureteral injury, with a worldwide incidence of less than 1% for laparoscopic hysterectomy and still higher than for the vaginal technique (< 0.9%) [7].…”