Laparoscopic repair of ureter damaged during laparoscopic hysterectomy: Presentation of two cases Laparoskopik histerektomide yaralanan üreterin laparoskopik tamiri: Iki olgunun sunumu

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Api M., Boza A., Kayataş S., Boza B.

Turkish Journal of Obstetrics and Gynecology, cilt.14, sa.3, ss.191-194, 2017 (Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14 Sayı: 3
  • Basım Tarihi: 2017
  • Doi Numarası: 10.4274/tjod.34270
  • Dergi Adı: Turkish Journal of Obstetrics and Gynecology
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.191-194
  • Anahtar Kelimeler: Ureter, injury, complication, laparoscopy
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

Ureter injuries are uncommon but dreaded complications in gynecologic surgery and a frequent cause of conversion to laparotomy. Recently, a few papers reported the repair of gynecologic ureteral injuries using laparoscopy with encouraging results. In these case reports, we aimed to present two laparoscopically repaired ureter injuries during total laparoscopic hysterectomies (TLH). In the first case, the ureter was transected during the dissection of the cardinal ligament, approximately 7 to 8 cm distal to the ureterovesical junction (UVJ), and in the second case, it was damaged approximately 10 cm distal to the UVJ. Both transections were identified during surgery. The injured ureter was repaired without converting to laparotomy or additional trocar insertion. Ureteroureterostomy was performed in both cases uneventfully. Although ureteric injury is a rare complication during TLH, it can be managed by the same surgeon laparoscopically during the same procedure.