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[Iatrogenic ureteral injuries-medical and legal aspects]
Joachim Steffens1, Christopher Wagner2
1Urologische Klinik Eschweiler, Chirurgisch-urologische Praxisklinik, Weststr. 126, 52134, Herzogenrath, Deutschland. joachim.steffens@me.com.
Abstract:
Iatrogenic ureteral injuries occur during surgical procedures in various medical disciplines. Medical and legal aspects of assessing possible treatment errors are presented. Intraoperative ureteral injuries should be treated immediately. Secondary ureteral complications are splinted until definitive reconstruction, or the upper urinary tract is drained via percutaneous nephrostomy. Definitive surgical ureter reconstruction depends on the length, height, and local blood supply of the affected ureter segment. Today, ureter reconstructions can usually be performed using minimally invasive robot-assisted techniques.
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