You are here

Home » Content

Jinekolojik cerrahi sırasında iyatrojenik olarak sütürlerle iki taraflı bağlanan üreterlerin endoskopik yolla serbestleştirilmesi

Endoscopic release of bilateral ureters ligated iatrogenically during gynecological surgery

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
We performed a therapeutic endoscopic approach to iatrogenic ligation of ureters in a patient who had postoperative anuric acute renal failure after total abdominal hysterectomy/bilateral salpingo-oopherectomy and Burch operations. The cause of obstruction was vicryl sutures used during operation. This case emphasizes the importance of cystoscopy as a minimal invasive and effective method in diagnosis and treatment during and after all major pelvic surgeries.
Bookmark/Search this post with
Abstract (Original Language): 
Abdominal histerektomi ve iki taraflı salpingo-ooferektomi ile birlikte Burch ameliyatı uygulanan bir hastada ameliyat sonrası erken dönemde anürik böbrek yetmezliği gelişmesi üzerine saptanan iyatrojenik iki taraflı distal üreter bağlanmasında tedavi girişimi olarak endoskopik yaklaşımı uyguladık. Obstrüksiyonun nedeni operasyon esnasında kullanılan vikril sütürlerdi. Bu olgu, bütün majör pelvis ameliyatları esnasında ve sonrasında minimal invaziv ve etkin bir yöntem olarak sistoskopinin tanı ve tedavideki değerini bir kez daha ortaya koymuştur.
FULL TEXT (PDF): 
PDF icon arastirmax-jinekolojik-cerrahi-sirasinda-iyatrojenik-olarak-suturlerle-iki-tarafli-baglanan-ureterlerin-endoskopik-yolla-serbestlestirilmesi.pdf
  • 3
178-180
  • Turkish

REFERENCES

References: 

1. Selzman AA, Spirnak JP. Iatrogenic ureteral injuries: a 20-
year experience in treating 165 injuries. J Urol 1996; 155:
878-881.
2. Payne CK. Ureteral injuries in the female: fistulas and
obstruction. In: Raz S (ed). Female Urology. 2nd ed.
Philadelphia: W.B. Saunders, 1996: 507-520.
3. Gilmour DT, Dwyer PL, Carey MP. Lower urinary tract
injury during gynecologic surgery and its detection by
intraoperative cystoscopy. Obstet Gynecol 1999; 94: 883-
889.
4. Mate-Kole MO, Yeboah ED, Affram RK, Ghosh TS.
Anuric acute renal failure due to bilateral accidental
ureteric ligation during abdominal hysterectomy. Int J
Gynaecol Obstet 1993; 41: 67-73.
5. Ghali AM, El Malik EM, Ibrahim AI, Ismail G, Rashid M.
Ureteric injuries: diagnosis, management, and outcome. J
Trauma 1999; 46: 150-158.
6. Armenakas NA. Current methods of diagnosis and management of ureteral injuries. World J Urol 1999; 17: 78-
83.
7. Dwyer PL, Carey MP, Rosamilia A. Suture injury to the
urinary tract in urethral suspension procedures for stress
incontinence. Int Urogynecol J Pelvic Floor Dysfunct
1999; 10: 15-21.
8. Visco AG, Taber KH, Weidner AC, Barber MD, Myers
ER. Cost-effectiveness of universal cystoscopy to identify
ureteral injury at hysterectomy. Obstet Gynecol 2001; 97:
685-692.
9. Denstedt JD, Wollin TA, Sofer M, Nott L, Weir M, D'A
Honey RJ. A prospective randomized controlled trial
comparing nonstented versus stented ureteroscopic
lithotripsy. J Urol 2001; 165: 1419-1422.

Thank you for copying data from http://www.arastirmax.com