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Ureteric injuries associated with gynecologic surgery.

U Onwudiegwu1, O O Makinde, O A Badejo

  • 1Department of Obstetrics and Gynaecology, Obafemi A wolowo University, Ile-Ife, Nigeria.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|March 1, 1991
PubMed
Summary

Ureteric injuries during gynecologic surgery are rare, occurring in 0.36% of cases. Prompt surgical repair of intra-operative injuries and preventative measures can minimize these complications.

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Area of Science:

  • Urology
  • Gynecologic Surgery

Background:

  • Ureteric injuries are a known complication of major gynecologic surgery.
  • These injuries can lead to significant patient morbidity if not managed promptly.

Purpose of the Study:

  • To review the incidence and management of ureteric injuries in patients undergoing major gynecologic surgery.
  • To emphasize the importance of preventive strategies and timely repair.

Main Methods:

  • Retrospective review of eight cases of ureteric injury.
  • Analysis of injury diagnosis (intra-operative vs. postoperative) and management outcomes.
  • Data collected over an 11-year period.

Main Results:

  • A low incidence of 0.36% for ureteric injuries was observed.

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  • Injuries were diagnosed either during surgery or postoperatively.
  • Immediate ureteric repair was performed for intra-operatively detected injuries.

    • Conclusions:

    • Ureteric injuries in gynecologic surgery, while infrequent, require vigilant diagnosis and management.
    • Immediate surgical repair is crucial for intra-operative injuries.
    • Implementing preventive measures during gynecologic procedures is key to reducing injury rates.