To review the literature regarding ureteral injuries that occured 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 occured 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 occured, timely diagnosis is prudent to prevent serious morbidities.
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