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Retrograde Endoscopic Management of Completely Transected Ureter Discovered Postoperatively
1The People's Hospital of Huantai, Zibo City, Shandong, China.
Journal of Endourology Case Reports
|June 26, 2018
Summary
Delayed ureteral injury after laparoscopic sigmoid colectomy can be challenging. Minimally invasive retrograde endoscopic realignment successfully treated a completely transected ureter diagnosed postoperatively.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Ureteral injury is a recognized complication of pelvic surgery.
- Intraoperative detection allows for straightforward management.
- Delayed diagnosis complicates treatment and reduces success rates.
Observation:
- A case of a completely transected ureter occurred during laparoscopic sigmoid colectomy.
- The ureteral injury was diagnosed on the 8th postoperative day.
- The patient presented with delayed signs of ureteral compromise.
Findings:
- The patient underwent minimally invasive retrograde endoscopic realignment.
- The treatment resulted in excellent clinical outcomes.
- This approach offers a viable solution for delayed ureteral injuries.
Implications:
- Highlights the potential for delayed ureteral injury in laparoscopic colectomy.
- Demonstrates the efficacy of minimally invasive endoscopic techniques for complex ureteral reconstruction.
- Suggests retrograde endoscopic realignment as a valuable option for managing delayed ureteral injuries, potentially improving patient outcomes and reducing morbidity.
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