Early repair of injury to the ureter or bladder after hysterectomy

Kostakopoulos, A.; Deliveliotis, Ch.; Louras, G.; Giftopoulos, A.; Skolaricos, A.

doi:10.1007/bf02550224

Cited by 20 publications

(8 citation statements)

References 10 publications

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“…Hysterectomy, both by transabdominal and transvaginal approaches, is the most common procedure, comprising 75% of iatrogenic fistulae 10 . Globally, the overall incidence varies between 0.5 and 1.5%, and bladder injuries are more common than ureteric ones 14 . In pelvic surgery the development risk of VVF is 0.22% in laparoscopic hysterectomy, 0.1% in abdominal hysterectomy and 0.02% in vaginal hysterectomy 15 .…”

Section: Discussionmentioning

confidence: 99%

“…This socio-demographic scenario is almost identical to other study in developing countries 7,13 . One study in Turkey reported the mean patient age as 43(±SD 3.86) years 14 . The alarming part is that majority of the cases occurred in middle age group and if not treated these women would have to spend a long part of their lives with this affliction, creating social and psychological problems in addition to medical issues.…”

Section: Discussionmentioning

confidence: 99%

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Socio-demographic Characteristics of Vesico-vaginal fistula (VVF) patients attended at a tertiary Care Hospital in Bangladesh

Akter¹,

Shewly²,

Khatun

et al. 2020

J. Natl Inst. Neurosci Bangladesh

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Background: Vesico-vaginal fistula can occur in different women with varied socio-economic condition. Objectives: The purpose of the present study was to see the socio-demographic characteristics of vesico-vaginal fistula (VVF) patients attended at a tertiary care hospital in Bangladesh. Methodology: This cross-sectional study was carried out from July 2013 to December 2013 for a period of 6 months in the National Fistula Centre in the Department of Obstetrics & Gynaecology at Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. All patients who underwent surgical repair for iatrogenic VVF in National Fistula Centre of the department of Obstetrics and Gynaecology of Dhaka Medical College Hospital were included in this study. Patients who got themselves admitted to Obstetrics & Gynaecology department of DMCH with the complaints of fistula. The entire selected patients were interviewed for detailed socio-demographic characteristics. Result: A total number of 51 cases of VVF were recruited for this study. The mean age was 46.02 (±SD 6.104) years. Most of the respondents were illiterate (55.0%) and one-third patients had primary level education. The number of highly educated patients was scarce (12.0%). It was evident that average age at marriage of the patients was 15.8(±4.74) years. Some females were forced to accept marriage at the age of 10 years. The mean interval between initiation of menstruation and the marriage was only 4.72 years. Mothers were on an average 17.48 years old at the time of first delivery. Conclusion: In conclusion middle age illiterate women are most commonly suffering from VVF. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 114-117

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Socio-demographic Characteristics of Vesico-vaginal fistula (VVF) patients attended at a tertiary Care Hospital in Bangladesh

Akter¹,

Shewly²,

Khatun

et al. 2020

J. Natl Inst. Neurosci Bangladesh

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“…Nossos resultados demonstraram incidência semelhante. As injúrias do ureter e bexiga durante a histerectomia devem ser tratadas imediatamente no intra-operatório, pois requerem técnicas cirúrgicas mais simples e evitam maior trauma para a paciente 13 .…”

Section: Discussionunclassified

Histerectomias: estudo retrospectivo de 554 casos

Murta¹,

Reis²,

Abrão³

et al. 2000

Rev. Col. Bras. Cir.

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OBJETIVO: A histerectomia é uma operação muito realizada, entretanto há poucos trabalhos na literatura nacional sobre suas indicações, técnica e complicações. O objetivo deste trabalho é avaliar estes procedimentos realizados na Disciplina de Ginecologia e Obstetrícia da Faculdade de Medicina do Triângulo Mineiro. MÉTODO: Estudo retrospectivo de 470 histerectomias abdominais e 84 vaginais foi conduzido analisando as indicações, tempo de cirurgia e internação, tipo de incisão e morbidez. RESULTADOS: As principais indicações foram o mioma uterino e o prolapso uterino para as histerectomias abdominais e vaginais, respectivamente. As complicações intra-operatórias aconteceram em 3,4% e as pós-operatórias em 2,4% do total de casos. Nenhuma diferença estatística foi encontrada no número de complicações em relação ao tipo de incisão (vertical ou transversal). O tempo de cirurgia e o de hospitalização foram estatisticamente maiores nas incisões verticais. A hemorragia foi a mais freqüente complicação intra-operatória e a infecção da incisão operatória foi a mais freqüente no pós-operatório. CONCLUSÕES: A histerectomia é um procedimento de baixo risco, no entanto, a realização de revisões sobre indicações e complicações, e a pesquisa de melhores técnicas cirúrgicas são necessárias para torná-la cada vez mais segura.

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“…Surgical management of unrecognized ureteric injuries is more complex in comparison to repair at the time of injury (11). The traditional recommendation of delaying repair by several months to allow edema to subside, tissue plane to be re-established, and fistula to become small prior to attempted repair (14) has been debated with some urological surgeons now advocating immediate repair (7,15,16). Percutaneous (17)(18)(19) and endoscopic (14,20) approaches offer alternative treatment options with good reported outcomes.…”

Section: Introductionmentioning

confidence: 99%

Management of iatrogenic ureteric injury with retrograde ureteric stenting: an analysis of factors affecting technical success and long-term outcome

et al. 2016

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Background Iatrogenic ureteral injuries arise as serious complication following obstetrics, gynecological, general, and urological surgery with incidence in the range of 0.5-10%. Retrograde placement of double-J ureteric stent is a possible treatment option if the injury is not recognized at the time of surgery. Purpose To assess technical success and long-term outcome associated with retrograde ureteric stent insertion for iatrogenic ureteric injury. Material and Methods Between 1999 and 2011, 26 patients with initially unrecognized iatrogenic ureteric injury underwent initial management with retrograde ureteric stenting. Full case-notes were available for review in 25 patients. Results The mean interval from injury to attempted stenting was 19.4 days. Successful retrograde ureteric stenting was achieved in 21/25 patients (81%). Retrograde stenting failed in four patients, and nephrostomy followed by alternative procedures were performed instead. At a median follow-up interval of 9.7 months, normal anatomy was demonstrated on 12/21 patients (57%) and a stricture was observed in 6/21 patients (28%) with three requiring surgical intervention. Conclusion Retrograde stenting is a safe and efficient initial management in patients with iatrogenic ureteric injuries.

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Early repair of injury to the ureter or bladder after hysterectomy

Cited by 20 publications

References 10 publications

Socio-demographic Characteristics of Vesico-vaginal fistula (VVF) patients attended at a tertiary Care Hospital in Bangladesh

Socio-demographic Characteristics of Vesico-vaginal fistula (VVF) patients attended at a tertiary Care Hospital in Bangladesh

Histerectomias: estudo retrospectivo de 554 casos

Management of iatrogenic ureteric injury with retrograde ureteric stenting: an analysis of factors affecting technical success and long-term outcome

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