World Journal of Laparoscopic Surgery

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VOLUME 3 , ISSUE 3 ( September-December, 2010 ) > List of Articles

REVIEW ARTICLE

Ureteric Injuries during Laparoscopic Gynecological Operations

Evin Nil Uğurlu

Citation Information : Uğurlu EN. Ureteric Injuries during Laparoscopic Gynecological Operations. World J Lap Surg 2010; 3 (3):123-125.

DOI: 10.5005/jp-journals-10007-1096

Published Online: 00-12-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

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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