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[Ureteral risk in celioscopic surgery].

D Demetriou1, B Mauroy, D Querleu

  • 1CH Roubaix, France.

Acta Urologica Belgica
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Laparoscopic surgery advancements increase ureteral injuries. This study reviews two cases of ureteral injury during gynecologic laparoscopy, treated successfully with ureteral stents, highlighting the need for awareness and proper management.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Gynecologic Surgery

Background:

  • Laparoscopic surgery has advanced significantly, leading to increased utilization across various medical fields.
  • This rise in laparoscopic procedures correlates with a potential increase in iatrogenic ureteral injuries, previously considered uncommon.
  • Ureteral injury is a recognized complication of pelvic and abdominal surgeries.

Observation:

  • Two cases of ureteral injury are presented in female patients aged 28 and 36.
  • Both laparoscopic procedures were indicated for gynecologic pathology.
  • Ureteral injury manifested as postoperative peritonitis in both instances.

Findings:

  • The primary treatment involved the placement of a ureteral stent to facilitate healing of the ureteral lesion.

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  • Successful management with ureteral stenting was achieved in both presented cases.
  • The study discusses the treatment and clinical evolution of these iatrogenic ureteral injuries.

    • Implications:

    • Increased vigilance for ureteral injury is warranted with the growing use of laparoscopy in gynecology.
    • Ureteral stenting is an effective treatment modality for iatrogenic ureteral injuries.
    • Further research into preventative strategies and standardized management protocols for ureteral injuries during laparoscopy is recommended.