Urological Complications in Gynecologic and Obstetric Operations at Surin Hospital

Authors

  • Shusit Parnitvitidkun Department of Surgery, Surin Hospital, Surin, Thailand

Abstract

Objectives: To review the causes, treatment and morbidity associated with iatrogenic urological injuries in gynecologic and obstetric surgery.

Materials and Methods: From 2002 to 2006, the medical records of all patients with the diagnosis of iatrogenic ureteral and bladder injuries were reviewed and 10 cases with 11 injuries were identified.

Results: Intraoperative injuries were recognized in 4 cases (2 cases of cut ureter and 2 cases of bladder tear). Delayed complications occurred in 7 cases including 2 V-V fistulae and 5 U-V fistulae. Endometriosis which accounted for 5 of 7 cases was the common diagnosis in the ureteral injury group. V-V fistulae were repaired transabdominally. Ureteral injuries were treated by reimplantation of ureter with or without native bladder bridge. All patients recovered with no further complications.

Conclusions: Proper identification and, when necessary, isolation of the ureter during operations in high risk group is crucial in reducing the incidence of urological injuries. Urological consultation should be considered in high risk patients.

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Published

2006-12-28

How to Cite

1.
Parnitvitidkun S. Urological Complications in Gynecologic and Obstetric Operations at Surin Hospital. Thai J Surg [Internet]. 2006 Dec. 28 [cited 2024 Nov. 23];27(4):149-52. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/241621

Issue

Vol. 27 No. 4 (2006): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.