Urinary Tract Injuries Secondary to Gynecologic Laparoscopic Surgery: Analysis of 75 Cases

Autor: Michael S. Baggish
Rok vydání: 2010
Předmět:
Zdroj: Journal of Gynecologic Surgery. 26:79-92
ISSN: 1557-7724
1042-4067
DOI: 10.1089/gyn.2010.0019
Popis: Objective: Ureteral and bladder injuries constitute one of a triad of major laparoscopic complications. This report analyzes the causative factors, the mechanism of injuries, and prophylactic measures, with an eye aimed at avoiding lower urinary tract damage. Design: This is a retrospective study of patients who sustained urinary tract injuries in the course of a variety of laparoscopic operations. Methods: Over a period of 24 years, 75 cases of bladder and ureteral injuries were compiled. Essential data included type of operations, description of clinical pathology, details of the surgical procedure(s), type of injury to bladder or ureter, instrument(s) or device(s) utilized, signs and symptoms, time of diagnosis, diagnostic tests, corrective procedures(s), results of repair, morbidity, follow-up data, and timelines. The majority of cases were associated with major laparoscopic operations (e.g., hysterectomies) and involved multiple abdominal entry sites. Results: Thirty-three (33) bladder injur...
Databáze: OpenAIRE