Ureteric injury in obstetric and gynaecological surgery

Jha, Swati; Coomarasamy, Aravinthan; Chan, Kiong K.

doi:10.1576/toag.6.4.203.27016

Cited by 42 publications

(45 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this situation, they are also at risk of inclusion within a suture during attempts at haemostasis because of the close proximity of the ureters to the uterine arteries . The ureters are also at risk where they join the bladder and, in this case, may be damaged as part of a concomitant bladder injury or attempts to repair a bladder injury …”

Section: Ureteric Injurymentioning

confidence: 99%

“…If there is concern, a urologist should be contacted. Intravenous injection of dye and transurethral cystoscopy can be used to demonstrate ureteric patency …”

Section: Ureteric Injurymentioning

confidence: 99%

“…Other signs and symptoms include fever, haematuria, flank pain, abdominal distension, sepsis/peritonitis/ileus, or retroperitoneal urinoma formation. There may be urinary leakage from the vagina suggesting fistula formation or from the abdominal wound or drain suggesting intra‐abdominal urine collection . Renal function testing may suggest renal failure due to obstructive nephropathy in the case of occlusion or metabolite reabsorption where there is transection.…”

Section: Ureteric Injurymentioning

confidence: 99%

See 2 more Smart Citations

Complications of caesarean section

Field

Haloob

2016

The Obstetric & Gynaecologis

View full text Add to dashboard Cite

Key content The incidence and presentation of complications of caesarean section. The surgical management of intrapartum and postpartum haemorrhage. Risk factors for, and prevention and treatment of postpartum sepsis. Presentation, investigation and repair of bladder injuries when recognised intraoperatively and following delayed presentation. Risk factors for, and recognition and management of suspected ureteric injury intraoperatively and postoperatively. Bowel complications including intraoperative bowel injury and management, postoperative ileus and Ogilvie syndrome. Particular risks and complications associated with caesarean section at full dilatation. Caesarean section in the developing world. Learning objectives To be aware of the most common and serious complications of caesarean section. To be able to describe recognition and initial surgical management of suspected bladder, ureteric and bowel injuries. To be familiar with delayed presentations of visceral injuries and have a systematic approach to investigation of suspected injury. To understand the impact of caesarean section complications in resource‐poor countries. Ethical issues Appropriate, accurate preoperative counselling regarding risks and consent. Awareness of personal competency in managing specific complications.

show abstract

Section: Ureteric Injurymentioning

confidence: 99%

“…If there is concern, a urologist should be contacted. Intravenous injection of dye and transurethral cystoscopy can be used to demonstrate ureteric patency …”

Section: Ureteric Injurymentioning

confidence: 99%

Section: Ureteric Injurymentioning

confidence: 99%

See 1 more Smart Citation

Complications of caesarean section

Field

Haloob

2016

The Obstetric & Gynaecologis

View full text Add to dashboard Cite

show abstract

“…6 Many obstetricians and gynecologists share a common fear of injury to the ureter. 7 Traditionally, gynecological procedures have been reported to account for between 50 and 75% of iatrogenic ureteric injuries since the ureter lies very near the female reproductive organs throughout its course from the pelvic brim to the bladder.…”

Section: Introductionmentioning

confidence: 99%

Bladder injuries during obstetrical and gynecological surgeries

et al. 2017

View full text Add to dashboard Cite

Background: The reproductive and urinary tracts in women are closely related anatomically and embryologically. Knowledge of this anatomy plays an important role in the prevention of urinary tract injury during gynaecologic surgery. The primary approach to prevention is careful surgical dissection and knowledge of the position of urinary tract structures within the surgical field.Methods: Prospective interventional study consisted of 28 patients with obstetrics and gynecological surgeries was carried out at department of surgery, new civil hospital, Surat during December 15th to January 16th. Out of 28 patients 13 patients had bladder injuries which repaired and studied in detail.Results: Out of these 28 patients undergone various obstetrics and gynecological surgeries, 13 patients were having iatrogenic urinary bladder injuries. Bladder injury occurred commonly during in LSCS and in hysterectomies. Out of 13 urinary bladder injuries, 8 injuries repaired in 2 layers by Vicryl 2-0 without insertion of SPC and 5 injuries were managed by primary repair with vicryl 2-0 with insertion of SPC (SPC= suprapubic cystostomy).Conclusions: Surgery adjacent to or within urinary bladder continue to result in occasional iatrogenic injury. These injuries can be minor with no long-term sequelae, or they can result in significant morbidity and inconvenience to patients.

show abstract

“…Ureterovaginal fistula with attendant leakage of urine, deterioration in renal function, urosepsis, and prolonged hospital stay are some of the negative consequences of this clinical problem. [4][5][6] So to forestall these negative consequences, early detection and prompt repair are essential. In developing countries like ours however, late presentation associated with complications are the norm.…”

Section: Introductionmentioning

confidence: 99%