Prevention and management of urinary tract injuries in gynecologic laparoscopic surgery Toshiro TERACHI 1 1Department of Urology, Tokai University School of Medicine Keyword: 婦人科腹腔鏡下手術 , 尿路損傷 pp.255-259
Published Date 2007/6/15
DOI https://doi.org/10.11477/mf.4426100053
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 While overall complication rate of gynecologic major laparoscopic surgery has decreased, urinary complication rate has been stable or still increasing. Urinary complications involve bladder injury and ureteral injury, which rarely result in vesicovaginal and ureterovaginal fistulas, respectively. Bladder injury is easily detected and repaired intraoperatively, however, ureteral injury is often detected postoperatively by abdominal symptoms, and sometimes causes serious complications like peritonitis. When ureterovaginal or vesicovaginal fistula has occurred unfortunately, the patients suffer from it for a long time. Prevention and intraoperative detection of urinary tract injuries, and management of them are discussed to prevent these complications.

Copyright © 2007, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


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