Related Experiment Videos
[Value of ureteral catheterization in laparoscopy]
J J Terzibachian1, C Gay, V Bertrand
1Service de chirurgie gynécologique, centre hospitalier de Belfort, 14, rue de Mulhouse, 90016 Belfort, France.
Gynecologie, Obstetrique & Fertilite
|July 21, 2001
Summary
Retrograde ureteral catheter placement in gynecologic laparoscopy aids ureter identification and dissection. This technique enhances safety by preventing or detecting ureteral injury during complex procedures.
Area of Science:
- Urology
- Gynecologic Surgery
- Minimally Invasive Surgery
Context:
- Operative laparoscopy, particularly in gynecology, carries a risk of ureteral injury.
- Adhesions from prior surgeries or endometriosis can complicate dissection.
- Iatrogenic ureteral transection is a potential complication during laparoscopic procedures.
Purpose:
- To describe the indications and procedures for ureteral retrograde catheter placement during operative laparoscopy.
- To assess the safety and efficacy of this technique in preventing or detecting ureteral injury.
- To evaluate the utility of intraoperative ureteral stenting in complex gynecologic laparoscopic surgeries.
Summary:
- A five-year cohort study of 1722 patients undergoing gynecologic laparoscopy evaluated ureteral retrograde catheter placement.
- The procedure was performed preventively in nine cases (adhesions, complex hysterectomy) and diagnostically in one case (suspected transection post-stapler use).
- Ureteral catheterization involved cystoscopy and internal stent insertion when ureter adhesiolysis or suspected transection occurred.
Impact:
- Intraoperative ureteral catheter placement improves ureter recognition and facilitates safe dissection.
- This technique enhances the security of complex operative laparoscopy by mitigating ureteral injury risks.
- The findings support the routine consideration of ureteral stenting in high-risk gynecologic laparoscopic procedures.