S29 Iatrogenic Urinary Tract System Injuries in Obstetrics and Gynecology Operations

Özdemir, Erkan; Öztürk, Uğur Kemal; Çelen, Sinan; Sucak, Ayhan; Günel, Mustafa; Güney, Güven; İmamoğlu, Metehan; Danışman, Ahmet

doi:10.1016/s1569-9056(10)61316-4

Cited by 23 publications

(35 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Malignancies and previous pelvic surgeries may also distort the anatomy and make dissections difficult, thereby leading to injuries to urinary tract during gynecological operations. These conditions, though present our this study, were not as significant as in other studies [5,6,8,18] . Pelvic radiation for malignancies has also been reported as risk factors, but this did not play a major role in our study [8].…”

Section: Discussioncontrasting

confidence: 78%

“…Injury to the urinary tract is a common complication of obstetric and gynaecology surgery [6]. The worldwide incidence is from 0.5-1.5% [16,17].…”

Section: Discussionmentioning

confidence: 99%

“…Though these conditions have been recorded in other studies, they played more roles in this study and featured in this study. Many pregnant women in our environment do not book for antenatal care in hospitals [5,6]. They are attended to by unorthodox healers and traditional birth attendants.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of these complications varies worldwide [4][5][6]. Obstetrics injuries occur mainly in grand multiparous women [4].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Urological Complications of Obstetrics and Gynaecology Surgeries in a Developing Country

2015

J Urol Nephrol

View full text Add to dashboard Cite

Background: Urological complications of obstetrics and gynaecology surgeries are associated with significant morbidity and occasional mortality. Certain factors affect the prevalence and outcome of treatment. Aim:To evaluate the risk factors and outcome of treatment of urological complications of obstetrics and gynaecology practice. Results: During this period, 8,270 obstetrics and gynaecology surgeries were performed; Twenty five patients (0.31%) had urological complications. The mean age was 38.4 years (range 24-62 years). The commonest initial diagnosis was uterine fibroids in 9 patients followed by uterine rupture in 8 patients. Total abdominal hysterectomy (12 patients) was the commonest surgery. Twenty-one patients had ureteric injury. Seven patients had bladder injury; one patient had injury to the bladder and both ureters. Eight injuries were identified intra-operatively. Ureteric re-implantation was the commonest repair. Twenty two patients (88%) had satisfactory outcome, one patient (4%) died due to chronic renal failure while two patients (8%) had sepsis. Conclusion:We conclude that conditions that distort pelvic anatomy and emergencies were the major risk factors. Early operative repairs achieved satisfactory results. Early detection and treatment of urological complications of obstetrics and gynaecology surgeries is important. Good knowledge of anatomy of urogenital system and meticulous surgical technique by the surgeon will reduce the incidence of complications.

show abstract

Section: Discussioncontrasting

confidence: 78%

“…Injury to the urinary tract is a common complication of obstetric and gynaecology surgery [6]. The worldwide incidence is from 0.5-1.5% [16,17].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The incidence of these complications varies worldwide [4][5][6]. Obstetrics injuries occur mainly in grand multiparous women [4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Urological Complications of Obstetrics and Gynaecology Surgeries in a Developing Country

2015

J Urol Nephrol

View full text Add to dashboard Cite

show abstract

“…IUI during colorectal surgery most frequently occurs during proctectomy (abdominoperineal resection and low anterior resection) and sigmoidectomy 6,7) . The injury can be due to laceration, devascularization, ligation, thermal injury, or resection [2][3][4][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

Yellinek

Krizzuk

Nogueras

et al. 2018

J Anus Rectum Colon

View full text Add to dashboard Cite

Abstract:Iatrogenic ureteral injury (IUI) is a dreaded complication of abdominopelvic surgery. Although rare, it is associated with severe consequences. This complication most commonly occurs during gynecological procedures but may also occur during colorectal surgeries. We present two cases of IUI in patients in whom the ureteric stents were electively placed. The first case was a 71-year-old male with no significant medical history. The patient underwent an elective laparoscopic sigmoidectomy for complicated diverticulitis. During the procedure, a proximal IUI occurred, and was recognized and repaired. The second case occurred in a 68-year-old male with a history of multiple complicated abdominal surgeries. The patient underwent a second redo low anterior resection for a long preanastomotic stricture. The IUI occurred in the right fibrosed presacral plane, approximately 3 cm proximal to the bladder. The ureter was reimplanted to the bladder during the same procedure. We will also present a literature review of IUI, including the risk factors, intraoperative prevention, and repair options.

show abstract

Multidetector CT of expected findings and complications after hysterectomy

Tonolini

2018

Insights Imaging

View full text Add to dashboard Cite

Indicated to manage a variety of disorders affecting the female genital tract, hysterectomy represents the second most common gynaecological operation after caesarean section. Performed via an open, laparoscopic or vaginal approach, hysterectomy is associated with non-negligible morbidity and occasional mortality. Iatrogenic complications represent a growing concern for gynaecologists and may result in prolonged hospitalisation, need for interventional procedures or repeated surgery, renal impairment and malpractice claims. As a result, radiologists are increasingly requested to investigate patients with suspected complications after hysterectomy. In the vast majority of early postoperative situations, multidetector CT represents the ideal modality to comprehensively visualise the surgically altered pelvic anatomy and to consistently triage the varied spectrum of possible injuries. This pictorial review provides an overview of current indications and surgical techniques, illustrates the expected CT appearances after recent hysterectomy, the clinical and imaging features of specific complications such as lymphoceles, surgical site infections, haemorrhages, urinary tract lesions and fistulas, bowel injury and obstruction. Our aim is to increase radiologists’ familiarity with normal post-hysterectomy findings and with post-surgical complications, which is crucial for an appropriate choice between conservative, interventional and surgical management.Teaching points• Hysterectomy via open, laparoscopic or vaginal route is associated with non-negligible morbidity. • Multiplanar CT imaging optimally visualises the surgically altered pelvic anatomy. • Familiarity with early post-hysterectomy CT and expected findings is warranted. • Complications encompass surgical site infections, haemorrhages, bowel injury and obstruction. • Urological complications include ureteral leakage, bladder injury, urinomas and urinary fistulas.

show abstract

S29 Iatrogenic Urinary Tract System Injuries in Obstetrics and Gynecology Operations

Cited by 23 publications

References 0 publications

Urological Complications of Obstetrics and Gynaecology Surgeries in a Developing Country

Urological Complications of Obstetrics and Gynaecology Surgeries in a Developing Country

Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

Multidetector CT of expected findings and complications after hysterectomy

Contact Info

Product

Resources

About