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Ureteral injury after laparoscopic surgery
1Department of Obstetrics and Gynecology, Veterans General Hospital-Taipei, 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan.
Summary
Laparoscopic surgery can cause ureteral injuries, leading to delayed symptoms like pain and fluid leakage. Prompt diagnosis and surgical repair, including ureteral reanastomosis, are crucial for patient recovery.
Area of Science:
- Urology
- Gynecologic Surgery
Background:
- Ureteral injuries are rare but severe complications of laparoscopic pelvic surgery.
- Delayed recognition can lead to significant patient morbidity.
Observation:
- A patient developed left lower quadrant pain and wound drainage post-hysterectomy.
- Urinary ascites and a left ureteral injury were diagnosed via intravenous pyelogram.
Findings:
- The injury was to the lower third of the left ureter, near the ureterovesical junction.
- Percutaneous nephrostomy was required after failed ureteral stenting.
- Successful ureteral reanastomosis was achieved after 3 months.
Implications:
- Highlights the importance of vigilance for ureteral injuries after laparoscopic procedures.
- Demonstrates the efficacy of delayed ureteral reanastomosis for successful outcomes.
- Emphasizes the need for timely diagnosis and management to prevent genitourinary compromise.