Journal of Surgery

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Urinary Tract Lesions After Surgery for Gynecological Pelvic Cancers at the Conakry University Hospital

Received: 16 November 2020    Accepted: 30 November 2020    Published: 16 December 2020
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Abstract

The aim of this study was to describe the urinary complications of surgery for gynecological pelvic cancers and their management at the university hospital in Conakry. Patients and methods: This was a descriptive multicenter study in the main surgical treatment services for gynecological pelvic cancer at the University Hospital of Conakry from 2007 to 2017. Results: Out of 22 cases collected, we found 10 (45.5%) cases during surgery and 12 cases of postoperative complications, including 8 (36.36%) early and 4 (18.18%) late. Direct suture on a ureteral probe in 3 cases and by reimplantation according to the Politano Leadbetter method in 2 cases. Laparotomy fistulorrhaphy was performed in 2 (9.1%) cases of VF. the Latzko technique for 6 (27.3%) other cases of FVV. The 2 cases of FUV were repaired by ureteral reimplantation according to the Lich-Grégoire method. In cases of stenosis, we proceeded to segmental resection followed by suturing on a ureteral probe. The morbidity consisted of: 2 cases of secondary VF, suppuration, 2 urinary incontinence, Operative mortality was 3 (13.6%) cases. Conclusion: The prevention of these lesions is the best way and requires a good knowledge of the anatomy and the surgical techniques. Early diagnosis of gynecologic pelvic cancer is necessary to minimize surgical risks.

DOI 10.11648/j.js.20200806.19
Published in Journal of Surgery (Volume 8, Issue 6, December 2020)
Page(s) 222-227
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Urinary Tract, Gynecological Pelvic Cancers, Conakry University Hospita

References
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[2] Minár L., Weinberger V., Kysela P. Complications of radical on cogynecological operations. Ceska Gynekol 2010; 75: 346-352.
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[4] Eisenhauer EL, Abu-Rustum NR, Sonoda Y. The effectof maximal surgical cyto reduction on sensitivity toplatinum- taxane chemotherapie and sub sequent survival in patient swith advanced avarian cancer. Gynecol Oncol 2008; 108: 276-81.
[5] Bernard P. Cancers invasifs du col utérin. http://www.sante.ujf-grenoble.fr.
[6] LE Blance. Castelain B., Lanvin D.: Le traitement de l’envahissement ganglionnaire pelvien dans les cancers du col utérin aux stades précoces. Gynécol. Obstet. Fertil. 2000, 28, 526-536.
[7] Castaigne D., Morice P., Pomel C.: Évolution de la chirurgie dans les cancers avancés du col de l’utérus. La lettre du gynécologue, 2001, 260, 18-20.
[8] Traoré B.•DemA.•Kasse A. A.•Dieng M. M.•Gaye M.•Diop M.•Tarik O. Dangou J. M.•Toure P.: Résécabilité des cancers localement avancés du col utérin après radiothérapie externe néoadjuvante. J. Afr. Cancer (2012) 4: 209-214.
[9] Bouya P A, Odzébé AW, Otiobanda FG, Itoua C, Mahoungou-Guimbi K, Banga M R, Andzin M, Ondongo-AtipoM, Ondze l S, Avala P. Uro- logicalcomplicationsofgynecologicsurgery. Progrèsenurologie 2011, Nov; 21 (12): 875–85.
[10] Michael Stamatakos, Constantina Sargedi, Theodora Stasinou, et Konstantinos Kontzoglou: Fistule vésico-vaginale: diagnostic et prise en charge, Grèce IndianJ Surg. 2014 avril; 76 (2): 131-136.
[11] Zoubek J, EJMcGuire, NollF, DeLancey JOL. L'apparition tardive de lésions des voies urinaires chez les patients traités avec succès par radiothérapie pour le cancer du col de l'utérus. JUrol. 1984; 141: 1347-1349. [PubMed].
[12] Adhoute Frédéric, Pariente Jean-Louis, Guillou Le, Ferriere Michel Jean-Marie: Lerisque urétéral en coelio-chirurgie, Progrès en Urologie (2004), 14, 1162-1166.
[13] Perez CA, Grigs by PW, Nene SM, et al (1992). Effectof tumor size on the prognosis of carcinoma of theuterine cervix treated with irradiational one. Cancer 69: 2796–806.
Author Information
  • Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Oncologic Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Friendship Hospital Sino Guinean of Kipe, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Oncologic Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Urology Ignace National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, Faculty of Sciences and Technic of Health Gamal Abdel Nasser, University of Conakry, Conakry, Guinea

Cite This Article
  • APA Style

    Koundouno Aly Mampan, Traore Bangaly, Camara Soriba Naby, Keita Mamady, Diakité Saikou Yaya, et al. (2020). Urinary Tract Lesions After Surgery for Gynecological Pelvic Cancers at the Conakry University Hospital. Journal of Surgery, 8(6), 222-227. https://doi.org/10.11648/j.js.20200806.19

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    ACS Style

    Koundouno Aly Mampan; Traore Bangaly; Camara Soriba Naby; Keita Mamady; Diakité Saikou Yaya, et al. Urinary Tract Lesions After Surgery for Gynecological Pelvic Cancers at the Conakry University Hospital. J. Surg. 2020, 8(6), 222-227. doi: 10.11648/j.js.20200806.19

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    AMA Style

    Koundouno Aly Mampan, Traore Bangaly, Camara Soriba Naby, Keita Mamady, Diakité Saikou Yaya, et al. Urinary Tract Lesions After Surgery for Gynecological Pelvic Cancers at the Conakry University Hospital. J Surg. 2020;8(6):222-227. doi: 10.11648/j.js.20200806.19

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  • @article{10.11648/j.js.20200806.19,
      author = {Koundouno Aly Mampan and Traore Bangaly and Camara Soriba Naby and Keita Mamady and Diakité Saikou Yaya and Camara Fode Lansana and Baldé Abdoulaye Korse and Balde Oumar Taibata and Diallo Abdoulaye Bobo and Toure Aboubacar},
      title = {Urinary Tract Lesions After Surgery for Gynecological Pelvic Cancers at the Conakry University Hospital},
      journal = {Journal of Surgery},
      volume = {8},
      number = {6},
      pages = {222-227},
      doi = {10.11648/j.js.20200806.19},
      url = {https://doi.org/10.11648/j.js.20200806.19},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20200806.19},
      abstract = {The aim of this study was to describe the urinary complications of surgery for gynecological pelvic cancers and their management at the university hospital in Conakry. Patients and methods: This was a descriptive multicenter study in the main surgical treatment services for gynecological pelvic cancer at the University Hospital of Conakry from 2007 to 2017. Results: Out of 22 cases collected, we found 10 (45.5%) cases during surgery and 12 cases of postoperative complications, including 8 (36.36%) early and 4 (18.18%) late. Direct suture on a ureteral probe in 3 cases and by reimplantation according to the Politano Leadbetter method in 2 cases. Laparotomy fistulorrhaphy was performed in 2 (9.1%) cases of VF. the Latzko technique for 6 (27.3%) other cases of FVV. The 2 cases of FUV were repaired by ureteral reimplantation according to the Lich-Grégoire method. In cases of stenosis, we proceeded to segmental resection followed by suturing on a ureteral probe. The morbidity consisted of: 2 cases of secondary VF, suppuration, 2 urinary incontinence, Operative mortality was 3 (13.6%) cases. Conclusion: The prevention of these lesions is the best way and requires a good knowledge of the anatomy and the surgical techniques. Early diagnosis of gynecologic pelvic cancer is necessary to minimize surgical risks.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Urinary Tract Lesions After Surgery for Gynecological Pelvic Cancers at the Conakry University Hospital
    AU  - Koundouno Aly Mampan
    AU  - Traore Bangaly
    AU  - Camara Soriba Naby
    AU  - Keita Mamady
    AU  - Diakité Saikou Yaya
    AU  - Camara Fode Lansana
    AU  - Baldé Abdoulaye Korse
    AU  - Balde Oumar Taibata
    AU  - Diallo Abdoulaye Bobo
    AU  - Toure Aboubacar
    Y1  - 2020/12/16
    PY  - 2020
    N1  - https://doi.org/10.11648/j.js.20200806.19
    DO  - 10.11648/j.js.20200806.19
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 222
    EP  - 227
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20200806.19
    AB  - The aim of this study was to describe the urinary complications of surgery for gynecological pelvic cancers and their management at the university hospital in Conakry. Patients and methods: This was a descriptive multicenter study in the main surgical treatment services for gynecological pelvic cancer at the University Hospital of Conakry from 2007 to 2017. Results: Out of 22 cases collected, we found 10 (45.5%) cases during surgery and 12 cases of postoperative complications, including 8 (36.36%) early and 4 (18.18%) late. Direct suture on a ureteral probe in 3 cases and by reimplantation according to the Politano Leadbetter method in 2 cases. Laparotomy fistulorrhaphy was performed in 2 (9.1%) cases of VF. the Latzko technique for 6 (27.3%) other cases of FVV. The 2 cases of FUV were repaired by ureteral reimplantation according to the Lich-Grégoire method. In cases of stenosis, we proceeded to segmental resection followed by suturing on a ureteral probe. The morbidity consisted of: 2 cases of secondary VF, suppuration, 2 urinary incontinence, Operative mortality was 3 (13.6%) cases. Conclusion: The prevention of these lesions is the best way and requires a good knowledge of the anatomy and the surgical techniques. Early diagnosis of gynecologic pelvic cancer is necessary to minimize surgical risks.
    VL  - 8
    IS  - 6
    ER  - 

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