The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery

Zhiyong Dong; Mengyue Chen; Junling Liu; Zhenyue Qin; Huihui Wang; Mingyue Bao; Ruxia Shi; Jiming Chen

doi:doi:10.11648/j.jgo.20221001.17

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The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery

Zhiyong Dong, Mengyue Chen, Junling Liu, Zhenyue Qin, Huihui Wang, Mingyue Bao, Ruxia Shi, Jiming Chen

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 1)

Received: 12 January 2022 Accepted: 4 February 2022 Published: 16 February 2022

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Abstract

Compared with traditional laparotomy, laparoscopic surgery has obvious advantages (smaller incisions, shorter hospital stays, and reduced blood loss). At present, more and more gynecological surgeries can be completed under laparoscopy. With the increasement of clinical treatment of gynecological laparoscopic surgery, the complications related to gynecological laparoscopic surgery and their prevention measures have become a continuous concern in the field of gynecology. The risk of injury to the lower urinary tract, consisting of the bladder and ureters, is inherent to gynecologic surgery regardless of operative technique, because the bladder and ureters lie adjacent to other critical structures. Ureteral injury caused by gynecological laparoscopic surgery is a relatively rare complication. Clinicians do not pay enough attention to it because of its low incidence. However, once it happens, the consequences are often serious. The clinical manifestations of ureteral injury caused by gynecological laparoscopic surgery vary greatly according to the location and severity of the injury. Patients with mild injury can heal themselves after conservative treatment, and patients with severe injury can have serious consequences such as peritonitis and acute renal insufficiency, and even lead to death. This paper will focus on ureteral anatomy, common causes, clinical manifestations, key points of diagnosis, treatment measures and prevention strategies of ureteral injury caused by laparoscopic surgery.

Published in	Journal of Gynecology and Obstetrics (Volume 10, Issue 1)
DOI	10.11648/j.jgo.20221001.17
Page(s)	48-51
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Gynecological Laparoscopic Surgery, Ureteral Injury, Ureteral Vaginal Fistula, Complications

References

[1]	Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. The Cochrane Database of Systematic Reviews 2015, Issue 8. Art. No.: CD003677.
[2]	Packiam VT, Cohen AJ, Pariser JJ, Nottingham CU, Faris SF, Bales GT. The impact of minimally invasive surgery on major iatrogenic ureteral injury and subsequent ureteral repair during hysterectomy: a national analysis of risk factors and outcomes. Urology 2016; 98: 183–188.
[3]	Abboudi H, Ahmed K, Royle J, Khan MS, Dasgupta P, N’Dow J. Ureteric injury: a challenging condition to diagnose and manage. Nat Rev Urol 2013; 10: 108–115.
[4]	Adelman MR, Bardsley TR, Sharp HT. Urinary tract injuries in laparoscopic hysterectomy: a systematic review. J Minim Invasive Gynecol 2014; 21: 558–66.
[5]	Wong JMK, Bortoletto P, Tolentino J, Jung MJ, Milad MP. Urinary Tract Injury in Gynecologic Laparoscopy for Benign Indication: A Systematic Review. Obstet Gynecol. 2018; 131 (1): 100-108.
[6]	Härkki-Sirén P, Sjöberg J, Tiitinen A. Urinary tract injuries after hysterectomy. Obstet Gynecol. 1998; 92 (1): 113-118.
[7]	Vajsbaher T, Ziemer T, and Schultheis H. A multi-modal approach to cognitive training and assistance in minimally invasive surgery. Cognitive Systems Research. vol. 2020; 64, pp. 57–72.
[8]	Pryor A, Mann WJ, et al. Complications of laparoscopic surgery. In: Marks, J, Falcone, T, editors. UpToDate. 2015 June.
[9]	Lipscomb GH, Givens VM. Preventing electrosurgical energy-related injuries. Obstet Gynecol Clin North Am. 2010; 37 (3): 369-377.
[10]	Wu MP, Ou CS, Chen SL, Yen EY, Rowbotham R. Complications and recommended practices for electrosurgery in laparoscopy. Am J Surg. 2000; 179 (1): 67-73.
[11]	Oh BR, Kwon DD, Park KS, Ryu SB, Park YI, Presti JC Jr. Late presentation of ureteral injury after laparoscopic surgery. Obstet Gynecol. 2000; 95 (3): 337-339.
[12]	Pompeo A, Molina WR, Sehrt D, et al. Laparoscopic ureteroneocystostomy for ureteral injuries after hysterectomy. JSLS. 2013; 17 (1): 121-125.
[13]	Lee JH, Choi JS, Lee KW, Han JS, Choi PC, Hoh JK. Immediate laparoscopic nontransvesical repair without omental interposition for vesicovaginal fistula developing after total abdominal hysterectomy. JSLS. 2010; 14 (2): 187-191.
[14]	Smith AP, Bazinet A, Liberman D. Iatrogenic ureteral injury after gynecological surgery. Can Urol Assoc J. 2019; 13 (6 Suppl4): S51-S55.
[15]	Ahn JH, Han JY, Nam JK, Park SW, Lee SD, Chung MK. Laparoscopic ureteroneocystostomy: modification of current techniques. Korean J Urol. 2013; 54 (1): 26-30.
[16]	Hove LD, Bock J, Christoffersen JK, Andreasson B. Analysis of 136 ureteral injuries in gynecological and obstetrical surgery from completed insurance claims. Acta Obstet Gynecol Scand. 2010; 89 (1): 82-86.
[17]	Nerli RB, Ghagane SC, Kadeli V, Hiremath MB. Ureteric injuries during laparoscopic gynecologic surgeries. J Sci Soc 2019; 46: 3.
[18]	Tanaka Y, Asada H, Kuji N, Yoshimura Y. Ureteral catheter placement for prevention of ureteral injury during laparoscopic hysterectomy. J Obstet Gynaecol Res. 2008; 34 (1): 67-72.
[19]	Siow A, Nikam YA, Ng C, Su MC. Urological complications of laparoscopic hysterectomy: a four-year review at KK Women's and Children's Hospital, Singapore. Singapore Med J. 2007; 48 (3): 217-221.
[20]	Tulikangas PK, Smith T, Falcone T, Boparai N, Walters MD. Gross and histologic characteristics of laparoscopic injuries with four different energy sources. Fertil Steril. 2001; 75 (4): 806-810.

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APA Style

Zhiyong Dong, Mengyue Chen, Junling Liu, Zhenyue Qin, Huihui Wang, et al. (2022). The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery. Journal of Gynecology and Obstetrics, 10(1), 48-51. https://doi.org/10.11648/j.jgo.20221001.17

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ACS Style

Zhiyong Dong; Mengyue Chen; Junling Liu; Zhenyue Qin; Huihui Wang, et al. The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery. J. Gynecol. Obstet. 2022, 10(1), 48-51. doi: 10.11648/j.jgo.20221001.17

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AMA Style

Zhiyong Dong, Mengyue Chen, Junling Liu, Zhenyue Qin, Huihui Wang, et al. The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery. J Gynecol Obstet. 2022;10(1):48-51. doi: 10.11648/j.jgo.20221001.17

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@article{10.11648/j.jgo.20221001.17,
  author = {Zhiyong Dong and Mengyue Chen and Junling Liu and Zhenyue Qin and Huihui Wang and Mingyue Bao and Ruxia Shi and Jiming Chen},
  title = {The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {1},
  pages = {48-51},
  doi = {10.11648/j.jgo.20221001.17},
  url = {https://doi.org/10.11648/j.jgo.20221001.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221001.17},
  abstract = {Compared with traditional laparotomy, laparoscopic surgery has obvious advantages (smaller incisions, shorter hospital stays, and reduced blood loss). At present, more and more gynecological surgeries can be completed under laparoscopy. With the increasement of clinical treatment of gynecological laparoscopic surgery, the complications related to gynecological laparoscopic surgery and their prevention measures have become a continuous concern in the field of gynecology. The risk of injury to the lower urinary tract, consisting of the bladder and ureters, is inherent to gynecologic surgery regardless of operative technique, because the bladder and ureters lie adjacent to other critical structures. Ureteral injury caused by gynecological laparoscopic surgery is a relatively rare complication. Clinicians do not pay enough attention to it because of its low incidence. However, once it happens, the consequences are often serious. The clinical manifestations of ureteral injury caused by gynecological laparoscopic surgery vary greatly according to the location and severity of the injury. Patients with mild injury can heal themselves after conservative treatment, and patients with severe injury can have serious consequences such as peritonitis and acute renal insufficiency, and even lead to death. This paper will focus on ureteral anatomy, common causes, clinical manifestations, key points of diagnosis, treatment measures and prevention strategies of ureteral injury caused by laparoscopic surgery.},
 year = {2022}
}

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TY  - JOUR
T1  - The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery
AU  - Zhiyong Dong
AU  - Mengyue Chen
AU  - Junling Liu
AU  - Zhenyue Qin
AU  - Huihui Wang
AU  - Mingyue Bao
AU  - Ruxia Shi
AU  - Jiming Chen
Y1  - 2022/02/16
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221001.17
DO  - 10.11648/j.jgo.20221001.17
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 48
EP  - 51
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221001.17
AB  - Compared with traditional laparotomy, laparoscopic surgery has obvious advantages (smaller incisions, shorter hospital stays, and reduced blood loss). At present, more and more gynecological surgeries can be completed under laparoscopy. With the increasement of clinical treatment of gynecological laparoscopic surgery, the complications related to gynecological laparoscopic surgery and their prevention measures have become a continuous concern in the field of gynecology. The risk of injury to the lower urinary tract, consisting of the bladder and ureters, is inherent to gynecologic surgery regardless of operative technique, because the bladder and ureters lie adjacent to other critical structures. Ureteral injury caused by gynecological laparoscopic surgery is a relatively rare complication. Clinicians do not pay enough attention to it because of its low incidence. However, once it happens, the consequences are often serious. The clinical manifestations of ureteral injury caused by gynecological laparoscopic surgery vary greatly according to the location and severity of the injury. Patients with mild injury can heal themselves after conservative treatment, and patients with severe injury can have serious consequences such as peritonitis and acute renal insufficiency, and even lead to death. This paper will focus on ureteral anatomy, common causes, clinical manifestations, key points of diagnosis, treatment measures and prevention strategies of ureteral injury caused by laparoscopic surgery.
VL  - 10
IS  - 1
ER  -

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Author Information

Zhiyong Dong

Department of Medical Research Center, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, China
Mengyue Chen

Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China
Junling Liu

Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China
Zhenyue Qin

Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China
Huihui Wang

Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China
Mingyue Bao

Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China
Ruxia Shi

Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China
Jiming Chen

Department of Gynecology, the Affiliated Changzhou No. 2 People’s Hospital of Nanjing Medical University, Changzhou, China

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Plain Text BibTeX RIS

APA Style

Zhiyong Dong, Mengyue Chen, Junling Liu, Zhenyue Qin, Huihui Wang, et al. (2022). The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery. Journal of Gynecology and Obstetrics, 10(1), 48-51. https://doi.org/10.11648/j.jgo.20221001.17

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ACS Style

Zhiyong Dong; Mengyue Chen; Junling Liu; Zhenyue Qin; Huihui Wang, et al. The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery. J. Gynecol. Obstet. 2022, 10(1), 48-51. doi: 10.11648/j.jgo.20221001.17

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AMA Style

Zhiyong Dong, Mengyue Chen, Junling Liu, Zhenyue Qin, Huihui Wang, et al. The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery. J Gynecol Obstet. 2022;10(1):48-51. doi: 10.11648/j.jgo.20221001.17

Copy | Download

@article{10.11648/j.jgo.20221001.17,
  author = {Zhiyong Dong and Mengyue Chen and Junling Liu and Zhenyue Qin and Huihui Wang and Mingyue Bao and Ruxia Shi and Jiming Chen},
  title = {The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {1},
  pages = {48-51},
  doi = {10.11648/j.jgo.20221001.17},
  url = {https://doi.org/10.11648/j.jgo.20221001.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221001.17},
  abstract = {Compared with traditional laparotomy, laparoscopic surgery has obvious advantages (smaller incisions, shorter hospital stays, and reduced blood loss). At present, more and more gynecological surgeries can be completed under laparoscopy. With the increasement of clinical treatment of gynecological laparoscopic surgery, the complications related to gynecological laparoscopic surgery and their prevention measures have become a continuous concern in the field of gynecology. The risk of injury to the lower urinary tract, consisting of the bladder and ureters, is inherent to gynecologic surgery regardless of operative technique, because the bladder and ureters lie adjacent to other critical structures. Ureteral injury caused by gynecological laparoscopic surgery is a relatively rare complication. Clinicians do not pay enough attention to it because of its low incidence. However, once it happens, the consequences are often serious. The clinical manifestations of ureteral injury caused by gynecological laparoscopic surgery vary greatly according to the location and severity of the injury. Patients with mild injury can heal themselves after conservative treatment, and patients with severe injury can have serious consequences such as peritonitis and acute renal insufficiency, and even lead to death. This paper will focus on ureteral anatomy, common causes, clinical manifestations, key points of diagnosis, treatment measures and prevention strategies of ureteral injury caused by laparoscopic surgery.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - The Complication of Ureteral Injury Induced by Gynecological Laparoscopic Surgery
AU  - Zhiyong Dong
AU  - Mengyue Chen
AU  - Junling Liu
AU  - Zhenyue Qin
AU  - Huihui Wang
AU  - Mingyue Bao
AU  - Ruxia Shi
AU  - Jiming Chen
Y1  - 2022/02/16
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221001.17
DO  - 10.11648/j.jgo.20221001.17
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 48
EP  - 51
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221001.17
AB  - Compared with traditional laparotomy, laparoscopic surgery has obvious advantages (smaller incisions, shorter hospital stays, and reduced blood loss). At present, more and more gynecological surgeries can be completed under laparoscopy. With the increasement of clinical treatment of gynecological laparoscopic surgery, the complications related to gynecological laparoscopic surgery and their prevention measures have become a continuous concern in the field of gynecology. The risk of injury to the lower urinary tract, consisting of the bladder and ureters, is inherent to gynecologic surgery regardless of operative technique, because the bladder and ureters lie adjacent to other critical structures. Ureteral injury caused by gynecological laparoscopic surgery is a relatively rare complication. Clinicians do not pay enough attention to it because of its low incidence. However, once it happens, the consequences are often serious. The clinical manifestations of ureteral injury caused by gynecological laparoscopic surgery vary greatly according to the location and severity of the injury. Patients with mild injury can heal themselves after conservative treatment, and patients with severe injury can have serious consequences such as peritonitis and acute renal insufficiency, and even lead to death. This paper will focus on ureteral anatomy, common causes, clinical manifestations, key points of diagnosis, treatment measures and prevention strategies of ureteral injury caused by laparoscopic surgery.
VL  - 10
IS  - 1
ER  -

Copy | Download