Ureteric injuries following pelvic operations

Oboro, VO; Dare, F.O.; Fadiora, S O; Aderounmu, A O A; Adeoti, ML; Ajadi, A. M.

doi:10.4314/eamj.v79i11.8808

Cited by 11 publications

(18 citation statements)

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“…The ureteral injury was observed in 77.42% (n = 17) of the study sample, which is comparable to the 68.75% reported by Diallo et al [6]. They were corroborated by the studies conducted by Oboro [12], Kpatcha [7] and Klap [8] for which gynecological and obstetrical surgery accounted for 47% to 55% of all wounds ureteral postoperative injuries [7] [8] [12]. Uro genital and uro digestive fistulas were the second type of complication in our study.…”

Section: Discussionsupporting

confidence: 89%

“…In the study by Oboro et al [12], hysterectomy (83%) and salpingo ophorectomie (17%) were the interventions managed in the department of Surgery, Ile-Ife Osun State, Nigeria.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment was performed by general surgeons, urologists or gynecologists [2] [7] [8] [12]. This elective management made it possible to obtain operative follow-up favorable to rates above 90%…”

Section: Discussionmentioning

confidence: 99%

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Urological Complications of Gynecological and Obstetric Interventions: Management at the Ignace Deen National Hospital—University Hospital of Conakry (Guinea)

Diallo¹,

Diallo²,

Raphiou³

et al. 2017

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Introduction: pelvic abdominal surgery may be associated with urological complications requiring reoperation. The aim of this study was to evaluate the urological surgical complications of gynecological and obstetric procedures conducted at the Ignace Deen University Hospital of Conakry in Guinea. Methodology: This was a retrospective, cross-sectional, descriptive study of ten years, from 1 January 2006 to 21 December 2015. Results: Of 14,500 patients hospitalized in the maternity ward during the study period, 31 patients had secondary urological complications during gynecological or obstetric intervention 0.2%). The mean age of the patients was 34.77 years (range: 17 to 58 years). The mean duration of hospital stay was 13.29 days (range: 3 to 28 days). Signs of complication were mainly postoperative abdominal pain (64%, n = 20), vaginal urine leakage (19.35%, n = 6) and vaginal bleeding (9.68% n = 3). The diagnosis was mainly confirmed by ultrasound (70.45%, n = 31). The lesions were primarily ureteric (77.42%, n = 17) or on the urethral wounds (8.12%, n = 12). Urological complications mostly occurred during hysterectomy (41.94%, n = 13) and caesarean section (32.26%, n = 10). Repair procedures included uretero-vesical reimplantation (58.06%, n = 18), vesico-vaginal fistuloraphy (22.58%, n = 7), vesico-uterine fistuloraphy (12.90%, n = 4) and temporary ureterostomy (6.45%, n = 2). Treatment were successful in 28 patients (90.32%) and a lethality of 9.68% (n = 3) was recorded. Conclusion: Urological surgical complications of obstetric gynecological surgeries were

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Section: Discussionsupporting

confidence: 89%

“…In the study by Oboro et al [12], hysterectomy (83%) and salpingo ophorectomie (17%) were the interventions managed in the department of Surgery, Ile-Ife Osun State, Nigeria.…”

Section: Discussionmentioning

confidence: 99%

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Urological Complications of Gynecological and Obstetric Interventions: Management at the Ignace Deen National Hospital—University Hospital of Conakry (Guinea)

Diallo¹,

Diallo²,

Raphiou³

et al. 2017

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“…Ureteric ligation was the commonest in this study (53.3%) as opposed to ureteric transection, which was the most common in other reports. [11] According to Oboro et al [11] and Awojobi et al [12] bilateral ureteric injury is a rare complication of hysterectomy; this is in contrast with the eight patients (88.8%) in this series.…”

Section: Discussionmentioning

confidence: 61%

Ureteric injuries associated with hysterectomy: A five-year experience in treating seventeen ureteric units in nine patients

Iduh

Onwukwe

Hembah-Hilekaan

2020

ANMRP

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Objective: Ureteric injuries following pelvic surgeries have been widely reported. It often causes severe morbidity and even mortality. It is generally agreed that the true incidence is difficult to determine as only patients who become symptomatic may present for intervention. The aim of this article was to document our 5-year experience in managing patients with post-hysterectomy ureteric injury. Materials and Methods: A retrospective review of all patients with ureteric injuries following hysterectomy managed at public and private hospitals between 2008 and 2013 was undertaken. Results: Seventeen injuries occurred in nine patients within the study period; eight patients sustained bilateral injuries. Ureteric ligation and transections were the most common. The left ureter was more commonly injured (58.8%) than the right. Ureteroneocystostomy was the most common method for treating injuries in the distal 2.5 cm of the ureter in this study. A mortality rate of 33.3% was recorded while all the other six patients had a favorable outcome. Conclusion: Early recognition and treatment guarantee a good outcome in the management of ureteric injuries.

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“…Риск ятрогенных повреждений увеличивается при эндометриозе, особенно при коагуляции вблизи крестцово-маточной связки [10], спаечных и воспалительных процессах в полости малого таза, при объемных образованиях, существенно изменяющих анатомию (фибромиомы матки, кисты яичника, опухоли гениталий и толстой кишки) [11].…”

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