Medizinische Universität Graz - Research portal
Selected Publication:
Tamussino, KF; Lang, PF; Breinl, E.
Ureteral complications with operative gynecologic laparoscopy.
Am J Obstet Gynecol. 1998; 178(5):967-970
Doi: 10.1016/S0002-9378(98)70532-0
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- Leading authors Med Uni Graz
- Tamussino Karl
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- Abstract:
- OBJECTIVE: The study assessed the incidence, diagnosis, management, and causes of ureteral injuries during major laparoscopic operations at our department in a 6-year period. STUDY DESIGN: The study was a chart review of 790 consecutive major laparoscopic procedures in 711 patients (mean age 37.4 +/- 11.6 years, mean weight 64.3 +/- 29.1 kg). RESULTS: There were four ureteral complications in three patients during or after laparoscopic operations: three of 711 patients (0.42%) and four of 790 procedures (0.38%). All three ureteral complications (one transection and a total of three ureterovaginal fistulas in two patients) occurred during laparoscopically assisted vaginal hysterectomies, for an incidence of 4.3%. There were no ureteral injuries in 291 salpingo-oophorectomies, 414 ovarian cystectomies, and 15 colposuspensions. Both delayed ureteral complications occurred in the lower segment of the ureter after laparoscopic bipolar coagulation and division of the cardinal ligament. CONCLUSION: We conclude that in laparoscopic surgery the ureter is most at risk when the cardinal ligament is dissected and divided below the uterine vessels.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Fallopian Tubes - surgery
- Female - surgery
- Genitalia, Female - surgery
- Humans - surgery
- Hysterectomy - adverse effects
- Laparoscopy - adverse effects
- Ovariectomy - adverse effects
- Ureter - injuries
- Ureteral Diseases - etiology
- Urinary Fistula - etiology
- Vaginal Fistula - etiology
- Find related publications in this database (Keywords)
- Laparoscopic Surgery
- Ureteral Injuries
- Laparoscopically Assisted Vaginal Hysterectomy
- Complications