Urinary injuries in laparoscopic-assisted vaginal hysterectomy: A report of 5 cases
- VernacularTitle:腹腔镜辅助阴式子宫切除术泌尿系统损伤5例报告
- Author:
Jing FENG
;
Xiaowei LI
;
Rong ZHOU
- Publication Type:Journal Article
- Keywords:
Laparoscopic-assisted vaginal hysterectomy;
Urinary injury;
Uretero-vaginal fistula
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate urinary tract injuries in laparoscopic-assisted vaginal hysterectomy(LAVH).Methods Clinical data of 5 cases of urinary tract injuries from 415 cases of LAVH from December 1995 to January 2006 in this hospital were retrospectively studied. Results Intraoperative bladder injury occurred in 2 cases and an immediate repair was given.Postoperative ureteral injury occurred in 3 cases: 2 cases of ureteral injury were found 4 days after operation because of abdominal pain,and 1 case was found on the 30th day after operation because of massive vaginal discharge.Conclusions Urinary tract injury is one of common complications in laparoscopic-assisted vaginal hysterectomy.High-risk factors include tumor size more than 5 cm,tumor protruding to the broad ligament,and tumor adjacent to the isthmus.Surgical repair is the major treatment.
