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- Title
Ureteric Injuries during Laparoscopic Gynecological Operations.
- Authors
Uğurlu, Evin Nil
- Abstract
Objective: To review the literature regarding ureteral injuries that occurred during laparoscopic gynecological operations and determine preventive methods. Material and methods: We have evaluated all the articles related with ureteral injuries of laparoscopic operations between the years 2000 and 2010, and selected 14 of them. Results: The rate of injury is 0.093 to 1.1%. Most of the injuries occurred at distal third of ureter due to close proximity to uterine artery. Unfortunately, most of the injuries were diagnosed postoperatively. The most common injury type was thermal injury, and the treatment of choice was often by laparotomy, particularly ureteroneocystostomy. The best way to prevent injury is a through knowledge of pelvic anatomy and principles of electrosurgery together with enough expertise. Conclusion: Ureteric injury prevention and if occurred, timely diagnosis is prudent to prevent serious morbidities.
- Subjects
URETER injuries; LAPAROSCOPIC surgery; UTERINE artery; GYNECOLOGY; PREVENTIVE medicine
- Publication
World Journal of Laparoscopic Surgery, 2010, Vol 3, Issue 3, p123
- ISSN
0974-5092
- Publication type
Article
- DOI
10.5005/jp-journals-10007-1096