Ureteral Injury During Colorectal Surgery: Two Case Reports and a Literature Review

Area of Science:

• Urology
• Surgical Oncology
• Gastroenterology

Background:

• Iatrogenic ureteral injury (IUI) is a significant complication following abdominopelvic surgeries.
• While uncommon, IUI can lead to severe patient consequences and prolonged morbidity.
• Gynecological and colorectal surgeries represent common scenarios for IUI.

Purpose of the Study:

• To report two distinct cases of IUI during elective colorectal surgery.
• To review the existing literature on risk factors, prevention, and management of IUI.
• To highlight the importance of recognizing and promptly addressing ureteral injuries during surgery.

Main Methods:

• Presentation of two case studies involving IUI during sigmoidectomy and low anterior resection.
• Comprehensive literature review on iatrogenic ureteral injury.
• Analysis of risk factors, intraoperative prevention techniques, and surgical repair options for IUI.

Main Results:

• Two cases of IUI were successfully identified and repaired intraoperatively during elective colorectal procedures.
• Literature review identified key risk factors and outlined various surgical repair strategies.
• Elective ureteral stenting was a factor in the presented cases.

Conclusions:

• Prompt recognition and intraoperative repair are crucial for managing IUI.
• Understanding risk factors and employing preventative measures can minimize IUI occurrence.
• Further research into optimal management strategies for IUI is warranted.