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The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery

Received: 12 January 2022    Accepted: 4 February 2022    Published: 16 February 2022
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Abstract

Compared with traditional laparotomy, laparoscopic surgery has obvious advantages (smaller incisions, shorter hospital stays, and reduced blood loss). At present, more and more gynecological surgeries can be completed under laparoscopy. With the increasement of clinical treatment of gynecological laparoscopic surgery, the complications related to gynecological laparoscopic surgery and their prevention measures have become a continuous concern in the field of gynecology. The risk of injury to the lower urinary tract, consisting of the bladder and ureters, is inherent to gynecologic surgery regardless of operative technique, because the bladder and ureters lie adjacent to other critical structures. Ureteral injury caused by gynecological laparoscopic surgery is a relatively rare complication. Clinicians do not pay enough attention to it because of its low incidence. However, once it happens, the consequences are often serious. The clinical manifestations of ureteral injury caused by gynecological laparoscopic surgery vary greatly according to the location and severity of the injury. Patients with mild injury can heal themselves after conservative treatment, and patients with severe injury can have serious consequences such as peritonitis and acute renal insufficiency, and even lead to death. This paper will focus on ureteral anatomy, common causes, clinical manifestations, key points of diagnosis, treatment measures and prevention strategies of ureteral injury caused by laparoscopic surgery.

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 1)
DOI 10.11648/j.jgo.20221001.17
Page(s) 48-51
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

Gynecological Laparoscopic Surgery, Ureteral Injury, Ureteral Vaginal Fistula, Complications

References
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[3] Abboudi H, Ahmed K, Royle J, Khan MS, Dasgupta P, N’Dow J. Ureteric injury: a challenging condition to diagnose and manage. Nat Rev Urol 2013; 10: 108–115.
[4] Adelman MR, Bardsley TR, Sharp HT. Urinary tract injuries in laparoscopic hysterectomy: a systematic review. J Minim Invasive Gynecol 2014; 21: 558–66.
[5] Wong JMK, Bortoletto P, Tolentino J, Jung MJ, Milad MP. Urinary Tract Injury in Gynecologic Laparoscopy for Benign Indication: A Systematic Review. Obstet Gynecol. 2018; 131 (1): 100-108.
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Cite This Article
  • APA Style

    Zhiyong Dong, Mengyue Chen, Junling Liu, Zhenyue Qin, Huihui Wang, et al. (2022). The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery. Journal of Gynecology and Obstetrics, 10(1), 48-51. https://doi.org/10.11648/j.jgo.20221001.17

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    ACS Style

    Zhiyong Dong; Mengyue Chen; Junling Liu; Zhenyue Qin; Huihui Wang, et al. The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery. J. Gynecol. Obstet. 2022, 10(1), 48-51. doi: 10.11648/j.jgo.20221001.17

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    AMA Style

    Zhiyong Dong, Mengyue Chen, Junling Liu, Zhenyue Qin, Huihui Wang, et al. The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery. J Gynecol Obstet. 2022;10(1):48-51. doi: 10.11648/j.jgo.20221001.17

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  • @article{10.11648/j.jgo.20221001.17,
      author = {Zhiyong Dong and Mengyue Chen and Junling Liu and Zhenyue Qin and Huihui Wang and Mingyue Bao and Ruxia Shi and Jiming Chen},
      title = {The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {10},
      number = {1},
      pages = {48-51},
      doi = {10.11648/j.jgo.20221001.17},
      url = {https://doi.org/10.11648/j.jgo.20221001.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221001.17},
      abstract = {Compared with traditional laparotomy, laparoscopic surgery has obvious advantages (smaller incisions, shorter hospital stays, and reduced blood loss). At present, more and more gynecological surgeries can be completed under laparoscopy. With the increasement of clinical treatment of gynecological laparoscopic surgery, the complications related to gynecological laparoscopic surgery and their prevention measures have become a continuous concern in the field of gynecology. The risk of injury to the lower urinary tract, consisting of the bladder and ureters, is inherent to gynecologic surgery regardless of operative technique, because the bladder and ureters lie adjacent to other critical structures. Ureteral injury caused by gynecological laparoscopic surgery is a relatively rare complication. Clinicians do not pay enough attention to it because of its low incidence. However, once it happens, the consequences are often serious. The clinical manifestations of ureteral injury caused by gynecological laparoscopic surgery vary greatly according to the location and severity of the injury. Patients with mild injury can heal themselves after conservative treatment, and patients with severe injury can have serious consequences such as peritonitis and acute renal insufficiency, and even lead to death. This paper will focus on ureteral anatomy, common causes, clinical manifestations, key points of diagnosis, treatment measures and prevention strategies of ureteral injury caused by laparoscopic surgery.},
     year = {2022}
    }
    

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    T1  - The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery
    AU  - Zhiyong Dong
    AU  - Mengyue Chen
    AU  - Junling Liu
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    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    PB  - Science Publishing Group
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    AB  - Compared with traditional laparotomy, laparoscopic surgery has obvious advantages (smaller incisions, shorter hospital stays, and reduced blood loss). At present, more and more gynecological surgeries can be completed under laparoscopy. With the increasement of clinical treatment of gynecological laparoscopic surgery, the complications related to gynecological laparoscopic surgery and their prevention measures have become a continuous concern in the field of gynecology. The risk of injury to the lower urinary tract, consisting of the bladder and ureters, is inherent to gynecologic surgery regardless of operative technique, because the bladder and ureters lie adjacent to other critical structures. Ureteral injury caused by gynecological laparoscopic surgery is a relatively rare complication. Clinicians do not pay enough attention to it because of its low incidence. However, once it happens, the consequences are often serious. The clinical manifestations of ureteral injury caused by gynecological laparoscopic surgery vary greatly according to the location and severity of the injury. Patients with mild injury can heal themselves after conservative treatment, and patients with severe injury can have serious consequences such as peritonitis and acute renal insufficiency, and even lead to death. This paper will focus on ureteral anatomy, common causes, clinical manifestations, key points of diagnosis, treatment measures and prevention strategies of ureteral injury caused by laparoscopic surgery.
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Department of Medical Research Center, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, China

  • Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China

  • Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China

  • Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China

  • Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China

  • Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China

  • Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China

  • Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China

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