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[Ureteral injuries in intervertebral lumbar disk surgery].
Der Urologe. Ausg. A
|November 1, 1986
Summary
Ureteral transection during lumbar disc surgery is a rare but serious complication. Prompt recognition and repair lead to successful outcomes, while delayed diagnosis can result in severe consequences like nephrectomy.
Area of Science:
- Urology
- Neurosurgery
- Surgical Complications
Background:
- Lumbar disc surgery, while common, carries risks.
- Ureteral injuries are exceptionally rare complications during these procedures.
Observation:
- This report analyzes nine previously documented cases of ureteral transection during lumbar disc surgery.
- Two new cases are presented to further illustrate this complication.
Findings:
- The first case involved immediate recognition of ureteral transection, successfully treated with end-to-end anastomosis.
- Delayed diagnosis in the second case led to sepsis and ultimately necessitated a nephrectomy (kidney removal).
Implications:
- Highlights the critical importance of timely diagnosis and intervention for ureteral injuries during lumbar surgery.
- Underscores the potential for severe morbidity, including loss of kidney function, if diagnosis is delayed.