Early repair of injury to the ureter or bladder after hysterectomy
| Autor: | Ch. Deliveliotis, Athanasios Kostakopoulos, A. Giftopoulos, G. Louras, A. Skolaricos |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Nephrology
Adult medicine.medical_specialty Urology medicine.medical_treatment Urinary Bladder urologic and male genital diseases Hysterectomy Ureter Internal medicine medicine Humans Ureteral Diseases Aged Urinary bladder Medical Errors Vesicovaginal Fistula urogenital system business.industry General surgery Open surgery Urinary Bladder Diseases Middle Aged medicine.disease female genital diseases and pregnancy complications Nephrectomy Neck of urinary bladder Stenosis medicine.anatomical_structure Treatment Outcome Female business |
| Zdroj: | International urology and nephrology. 30(4) |
| ISSN: | 0301-1623 |
| Popis: | In the present study we investigated the effectiveness of early diagnosis, repair of injuries to the ureter and urinary bladder sustained during hysterectomy, as compared to the results of delayed intervention. There were 46 ureteral injuries and 20 vesicovaginal fistulas in 55 patients. In 14 cases of ureteral injury an endoscopic approach management was employed. There was complete healing in 18 vesicovaginal fistulas while there was a single case of a ureteral injury that required nephrectomy because of stenosis. This study shows that early repair of urological injuries after hysterectomy has considerable advantages and the results are equally comparable with those of delayed intervention. In most cases of ureteral injury an attempt of an endoscopic repair is warranted before proceeding to open surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink