The value of diagnostic cystoscopy in early detection of ureteral injury at the time of total laparoscopic hysterectomy (TLH).
- Author:
Young Sang KIM
1
;
In Hyun KIM
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea. kihja@paran.com
- Publication Type:Original Article
- Keywords:
Cystoscopy;
Ureteral injury;
Laparoscopic;
Hysterectomy
- MeSH:
Cystoscopy*;
Female;
Humans;
Hysterectomy*;
Retrospective Studies;
Ureter*
- From:Korean Journal of Obstetrics and Gynecology
2007;50(8):1125-1131
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To estimate the effect of diagnostic cystoscopy in early detection of ureteral injury at the time of total laparoscopic hysterectomy. METHODS: Retrospectively 598 women who received total laparoscopic hysterectomy from August 2004 to August 2006 were included. They were divided into two groups : no cystoscopic examination (n=398) group (Group A) and routine intraoperative diagnostic cystoscopic examination after intravenous indigo-carmine injection (n=200) group (Group B). The rates of ureteral injury after total laparoscopic hysterectomy were compared between both groups. RESULTS: Postoperative ureteral injury was observed in 3 case of Group A (3/398 : 0.75%) and in no case of Group B. In 2 cases of group B (2/200 : 1.00%), Intraoperative ureteral injury was detected by cystoscopy. CONCLUSION: Routine intraoperative diagnostic cystoscopy allows for early recognition and treatment of obstructive ureteral injuries, and reduces the rate of late postoperative ureteral complications during advanced laparoscopic procedures.
