Intraoperative Management And Urinary System Complications During Total Laparoscopic Hysterectomy

Şendağ, Fatih; Akman, Levent; Öztekin, Kemal

doi:10.5505/tjod.2013.29292

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…As a very useful remark concerning this, it is always wise to check on the foley on a regular basis since any kind of bladder injury will tend to inflate the reservoir bag like a balloon, due to constant high intra-abdominal carbon dioxide pressure. We have encountered 2 cases of bladder injuries in the TLH series which is slightly higher (3.9%) than the current literature [17]. Being the only reference center performing laparoscopic surgery in our region might explain that.…”

Section: Resultsmentioning

confidence: 58%

Tips and Tricks in Laparoscopic Surgery in Light of 172 Patients, From A Gynecological Point of View in Turkey

Bakay¹

2016

Ann Clin Anal Med

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abdominal wall elevation measurements with force applied during primary trocar entry ranged from 1cm to 3cm (mean: 2.13±1cm) when elevated manually and 0.5cm to 3cm (mean: 0.89±0.8cm) with the towel clips. The difference was statistically significant (p<0.05). Discussion: Laparoscopic surgery or minimally invasive surgery in general will undoubtedly dominate all fields of medicine in the near future, therefore it would be mandatory for almost every surgical branch to provide adequate training and skills for the operator in the both pre and post graduation period.

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Section: Resultsmentioning

confidence: 58%

Tips and Tricks in Laparoscopic Surgery in Light of 172 Patients, From A Gynecological Point of View in Turkey

Bakay¹

2016

Ann Clin Anal Med

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“…Of these, 175 studies were excluded, leaving 26 studies for inclusion. 2 , 4 , 6 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 Exclusion was due to the following reasons: bladder repair technique not described ( n = 77), full text not available ( n = 42), duplication ( n = 25), language ( n = 12), study design ( n = 8), no bladder injuries present ( n = 7), and wrong patient population ( n = 4) (Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

Iatrogenic bladder injury following gynecologic and obstetric surgery: A systematic review and meta‐analysis

Jensen

Heinemeier

Schroll

et al. 2023

Acta Obstet Gynecol Scand

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IntroductionIatrogenic bladder injury is a rare complication following obstetric and gynecologic surgery and only sparse information is available regarding length of transurethral catheterization following injuries, suturing techniques including choice of suture, and complications. The primary aim of this systematic review was to evaluate length of transurethral catheterization in relation to complications following iatrogenic bladder injury. Second, we aimed to evaluate the number of complications following repair of iatrogenic bladder injuries and to describe suture technique and best choice of suture.Material and methodsA systematic review and meta‐analysis was conducted, and the results were presented in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. PubMed, Embase, and Medline electronic databases were searched, and followed by screening from two independent reviewers. Studies published between January 2000 and March 2023 describing methods of bladder injury repair following obstetric or gynecologic benign surgery were included. Data extraction was done using Covidence. We performed a meta‐analysis on complications after repair and explored this with a meta‐regression analysis (Metafor package R) on length of catheterization to determine if length of catheterization influenced the risk of complication. A risk of bias tool from Cochrane was used to assess risk of bias and the study was registered in PROSPERO (CRD42021290586).ResultsOut of 2175 articles, we included 21 retrospective studies, four prospective studies, and one case‐control study. In total, 595 bladder injuries were included. Cesarean section was the most prominent surgery type, followed by laparoscopically assisted vaginal hysterectomy. We found no statistically significant association between length of transurethral catheterization and numbers of complications following repair of iatrogenic bladder injuries. More than 90% of injuries were recognized intraoperatively. Approximately 1% had complications following iatrogenic bladder injury repair (0.010, 95% confidence interval 0.0015–0.0189, 26 studies, 595 participants, I2 = 4%).ConclusionsOur review did not identify conclusive evidence on the length of postoperative catheterization following bladder injury warranting further research. However, the rate of complications was low following iatrogenic bladder injury with a wide range of repair approaches.

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“…Although there are different outcomes in the literature regarding TLH complications, TLH has been shown to have higher complication rates compared to other operation techniques in a number of studies [15]. In a study performed by Johnson et al, [16] involving 3643 patients from multiple centers, although vaginal and laparoscopic hysterectomy techniques were reported to be significantly more advantageous in terms of rapid wound healing and return to daily routine, bladder and ureter injury complications were more common in patients who underwent laparoscopic hysterectomy [17]. In a study by Makinen et al, authors evaluated 10110 patients who underwent hysterectomy according to the operation technique and found that urinary tract complications occurred between 0.2% and 0.5% in abdominal hysterectomies, whereas the frequency of urinary tract complications was 1.1% to 1.3% with the laparoscopic approach.…”

Section: Dıscussionmentioning

confidence: 99%

Evaluation of perioperative results of total laparoscopic hysterectomy cases: a tertiary referral center experience

Katılmış¹

2019

Ann Clin Anal Med

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Intraoperative Management And Urinary System Complications During Total Laparoscopic Hysterectomy

Abstract: SUMMARY

Cited by 4 publications

References 16 publications

Tips and Tricks in Laparoscopic Surgery in Light of 172 Patients, From A Gynecological Point of View in Turkey

Tips and Tricks in Laparoscopic Surgery in Light of 172 Patients, From A Gynecological Point of View in Turkey

Iatrogenic bladder injury following gynecologic and obstetric surgery: A systematic review and meta‐analysis

Evaluation of perioperative results of total laparoscopic hysterectomy cases: a tertiary referral center experience

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